Individual
KURT LETSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1093 ROYAL CT, MEDFORD, OR 97504-6130
(541) 773-7273
(541) 773-2027
Mailing address
PO BOX 1705, MEDFORD, OR 97501-0132
(541) 773-7273
(541) 773-2027
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A76350
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A763500
BLUE SHIELD
CA
05
—
00A763500
—
CA
Enumeration date
07/17/2006
Last updated
03/26/2019
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