Individual
DR. MARK ADALBERT EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 MEDICAL CENTER DR, STE 300, MEDFORD, OR 97504-4316
(541) 282-6559
(541) 282-6710
Mailing address
520 MEDICAL CENTER DR, STE 300, MEDFORD, OR 97504-4316
(541) 282-6559
(541) 282-6710
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD22875
OR
2086S0129X
Vascular Surgery Physician
MD22875
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109130
MEDICARE
OR
05
—
287578
—
OR
01
—
4898012
BLUE CROSS
OR
Enumeration date
10/17/2006
Last updated
02/23/2018
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