Individual
MR. MARK ANDREW KANTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
1701 NE 7TH ST, GRANTS PASS, OR 97526-1319
(541) 471-4106
Mailing address
1328 E MAIN ST, MEDFORD, OR 97504-7561
(541) 608-3686
(541) 608-3689
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9512
OR
Other
Enumeration date
10/25/2010
Last updated
11/10/2021
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