Organization
RADIATION ONCOLOGY GROUP CONSULTANTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERE SANDEFUR MD (PRESIDENT)
(541) 772-0023
Entity
Organization
Contact information
Practice address
2825 E BARNETT RD, MEDFORD, OR 97504-8332
(541) 772-0023
Mailing address
PO BOX 8509, MEDFORD, OR 97501-5009
(541) 772-0023
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247679
—
OR
Enumeration date
03/17/2006
Last updated
06/16/2009
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