Organization
JANA JADERBORG, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANA JADERBORG MD (OWNER)
(541) 332-5753
Entity
Organization
Contact information
Practice address
1575 S RAILROAD AVE, CRESCENT CITY, CA 95531-6821
(541) 332-5753
(541) 749-2130
Mailing address
1900 NE 3RD ST, STE 106, RM # 317, BEND, OR 97701-3854
(541) 332-5753
(541) 749-2130
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A77111
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A771110
—
CA
Enumeration date
08/11/2006
Last updated
08/22/2020
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