Individual
BENI THI DANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
691 MURPHY RD., STE 107, MEDFORD, OR 97504-4311
(541) 789-5121
(541) 789-5122
Mailing address
2825 E BARNETT RD, MSS, MEDFORD, OR 97504-8332
(541) 789-4207
(541) 789-4806
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA192053
OR
363AS0400X
Surgical Physician Assistant
Primary
PA192053
OR
Other
Enumeration date
02/22/2019
Last updated
02/28/2024
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