Organization
ASSOCIATES FOR WOMENS HEALTH OF SOUTHERN OREGON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIGUEL G CARBONELL MD (OWNER)
(541) 773-1565
Entity
Organization
Contact information
Practice address
3190 STATE ST STE 102, MEDFORD, OR 97504-8498
(541) 773-1565
(541) 773-1929
Mailing address
3190 STATE ST STE 102, MEDFORD, OR 97504-8498
(541) 773-1565
(541) 773-1929
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
02/13/2007
Last updated
02/16/2011
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