Organization
JAMES W. THEEN, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES WILLIAM THEEN MD (PRESIDENT)
(541) 245-6050
Entity
Organization
Contact information
Practice address
935 TOWN CENTRE DR, SUITE B, MEDFORD, OR 97504-6172
(541) 245-6050
Mailing address
935 TOWN CENTRE DR, SUITE B, MEDFORD, OR 97504-6172
(541) 245-6050
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD16267
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R104728
MEDICARE ID-PIN
OR
Enumeration date
09/25/2007
Last updated
09/25/2007
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