Individual
DR. DOUGLAS KENT DIEHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1025 E MAIN ST, MEDFORD, OR 97504-7689
(541) 779-1282
(541) 608-2888
Mailing address
1003 E MAIN ST STE 104, MEDFORD, OR 97504-7140
(541) 779-1082
(541) 608-2888
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD23570
OR
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
MD23570
OR
Other
Enumeration date
10/13/2006
Last updated
06/15/2021
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