Individual
PAUL S IMPERIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1333 E BARNETT RD, MEDFORD, OR 97504-8219
(541) 779-4711
(541) 779-0796
Mailing address
1333 E BARNETT RD, MEDFORD, OR 97504-8219
(541) 779-4711
(541) 779-0796
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
17163
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001191005
BLUE CROSS BLUE SHIELD
—
05
—
031026
—
OR
01
—
180014364
RAILROAD MEDICARE
—
Enumeration date
12/01/2006
Last updated
01/14/2011
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