Organization
SOUTHERN OREGON NEUROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERIKA HUBER (BOOKKEEPER)
(541) 772-1119
Entity
Organization
Contact information
Practice address
897 ROYAL AVE, STE B, MEDFORD, OR 97504-6121
(541) 779-4991
(541) 772-2910
Mailing address
897 ROYAL AVE, STE B, MEDFORD, OR 97504-6121
(541) 779-4991
(541) 772-2910
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182618
—
OR
Enumeration date
04/26/2007
Last updated
08/21/2007
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