Individual
DR. ANDREW DONALD LUTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
495 SW RAMSEYA VE, GRANTS PASS, OR 97527
(541) 476-6644
(541) 472-5673
Mailing address
495 SW RAMSEYA VE, GRANTS PASS, OR 97527
(541) 476-6644
(541) 472-5673
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD21189
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151207
—
OR
Enumeration date
06/17/2005
Last updated
07/08/2007
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