Individual
DR. WILLIAM H PALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
691 MURPHY RD STE 107, MEDFORD, OR 97504-4311
(541) 789-6460
(541) 789-6461
Mailing address
ASANTE PHYSICIAN PARTNERS, 2825 E BARNETT MSS, MEDFORD, OR 97504
(541) 789-6460
(541) 789-6461
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD22917
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022868
—
OR
01
—
943096772
TAX ID
—
Enumeration date
06/04/2006
Last updated
02/14/2022
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