Organization
ROGUE VALLEY PAIN PHYSICAL & REGENERATIVE MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC WRUCK (OWNER)
(808) 250-1166
Entity
Organization
Contact information
Practice address
845 ALDER CREEK DR, MEDFORD, OR 97504-8900
(541) 200-0924
(541) 200-0929
Mailing address
4951 GRIFFIN CREEK RD, MEDFORD, OR 97501-9586
(541) 200-0924
(541) 200-0929
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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