Individual
NATHAN FUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 MEDICAL CENTER DR, STE 200, MEDFORD, OR 97504-4314
(541) 282-6608
(541) 282-6601
Mailing address
520 MEDICAL CENTER DR, STE 200, MEDFORD, OR 97504-4314
(541) 282-6606
(541) 282-6608
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD166817
OR
207RC0000X
Cardiovascular Disease Physician
Primary
MD166817
OR
Other
Enumeration date
05/21/2007
Last updated
05/16/2014
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