Individual
CONNOR HYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2859 STATE ST, MEDFORD, OR 97504-8400
(541) 789-5121
Mailing address
2825 E BARNETT RD # MMS, MEDFORD, OR 97504-8332
(541) 789-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA202673
OR
363AS0400X
Surgical Physician Assistant
Primary
PA202673
OR
Other
Enumeration date
10/14/2020
Last updated
07/29/2025
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