Individual
JOHN ALEX DESCHWEINITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1609 E BARNETT RD, MEDFORD, OR 97504-8284
(541) 890-4462
Mailing address
1609 E BARNETT RD, MEDFORD, OR 97504
(541) 890-4462
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
200932934
OR
Other
Enumeration date
09/05/2008
Last updated
09/05/2008
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