Individual
MITCHELL MARTIN PLUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 MEDICAL CENTER DR, STE 300, MEDFORD, OR 97504-4316
(541) 282-6559
(541) 282-6710
Mailing address
520 MEDICAL CENTER DR, STE 300, MEDFORD, OR 97504-4316
(541) 282-6559
(541) 282-6710
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD156412
OR
2086S0129X
Vascular Surgery Physician
Primary
MD156412
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
165610
MEDICARE
OR
01
—
4898026
BLUE CROSS
OR
05
—
500647780
—
OR
Enumeration date
06/13/2007
Last updated
05/13/2015
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