Individual
DR. JEREMY JOHN HITCHCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
495 SW RAMSEY AVE, GRANTS PASS, OR 97527
(541) 476-6644
(541) 472-5673
Mailing address
495 SW RAMSEY AVE, GRANTS PASS, OR 97527
(541) 476-6644
(541) 472-5673
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD28543
OR
207VX0000X
Obstetrics Physician
MD28543
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025998
—
OR
Enumeration date
06/28/2007
Last updated
08/13/2012
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