Individual
CHARLES R DIBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2828 E BARNETT RD, MEDFORD, OR 97504-8342
(541) 774-5853
(541) 608-6632
Mailing address
2828 E BARNETT RD, MEDFORD, OR 97504-8342
(541) 774-5853
(541) 608-6632
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD17987
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046057
—
OR
Enumeration date
05/26/2006
Last updated
05/15/2013
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