Organization
MEDFORD RADIOLOGICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J TROYCHAK M.D. (PRESIDENT)
(541) 773-2493
Entity
Organization
Contact information
Practice address
842 E MAIN ST, MEDFORD, OR 97504-7134
(541) 773-2493
(541) 779-3027
Mailing address
PO BOX 1747, MEDFORD, OR 97501-0136
(541) 773-2493
(541) 779-3027
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109306
—
OR
Enumeration date
10/20/2006
Last updated
07/24/2012
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