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Individual

MEREDITH RIPLEY GRUNDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2780 E BARNETT RD, 200, MEDFORD, OR 97504-8674
(541) 779-6250
Mailing address
2780 E BARNETT RD, SUITE 200, MEDFORD, OR 97504-8674
(541) 779-6250

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TX

Other

Enumeration date
08/18/2010
Last updated
01/28/2013
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