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Individual

GARY H SAFLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19 MYRTLE ST, MEDFORD, OR 97504-7337
(541) 773-3863
(541) 618-4413
Mailing address
19 MYRTLE ST, MEDFORD, OR 97504-7337
(541) 773-3863
(541) 618-4413

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD08642
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
227698
OR
Enumeration date
11/14/2006
Last updated
07/08/2007
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