Individual
BRIAN W GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 MEDICAL CENTER DR, STE 200, MEDFORD, OR 97504-4314
(541) 282-6600
(541) 282-6601
Mailing address
520 MEDICAL CENTER DR, STE 200, MEDFORD, OR 97504-4314
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
13048
OR
207RI0011X
Interventional Cardiology Physician
Primary
MD1348
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263335
—
OR
Enumeration date
10/04/2005
Last updated
01/06/2015
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