Individual
JAY BENJAMIN SKUDLAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
229 N BARTLETT ST, MEDFORD, OR 97501-6028
(541) 414-8488
Mailing address
229 N BARTLETT ST, MEDFORD, OR 97501-6028
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HAS-P-10174930
OR
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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