Individual
MR. BRIAN A ROSENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L..AC.
Contact information
Practice address
714 E JACKSON ST, MEDFORD, OR 97504-6712
(541) 773-9877
(541) 773-5725
Mailing address
714 E JACKSON ST, MEDFORD, OR 97504-6712
(541) 773-9877
(541) 773-5725
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00333
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150696
—
OR
Enumeration date
11/08/2006
Last updated
07/13/2011
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