Organization
ROGUE ENDOCRINOLOGY AND METABOLIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARISSA K STULTS (OPERATIONS MANAGER)
(541) 773-9772
Entity
Organization
Contact information
Practice address
3144 STATE ST, MEDFORD, OR 97504-8450
(541) 772-9355
(541) 772-6355
Mailing address
3144 STATE ST, MEDFORD, OR 97504-8450
(541) 772-9355
(541) 772-6355
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
05/05/2006
Last updated
11/13/2007
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