Individual
BRETT DALTON KLEZMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2900 STATE ST, MEDFORD, OR 97504-8458
(541) 779-1672
Mailing address
614 S HOLLY ST, MEDFORD, OR 97501-3639
(972) 900-3977
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA226298
OR
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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