Individual
JUSTIN KARL SACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 S HOLLY ST, MEDFORD, OR 97501-3113
(541) 734-3902
Mailing address
43 W HERSEY ST, ASHLAND, OR 97520-1158
(541) 879-9246
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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