Organization
ROGUE VALLEY OPTOMETRIC CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY H WHEELER O.D. (SECRETORY)
(541) 779-2095
Entity
Organization
Contact information
Practice address
309 GENESSEE ST, MEDFORD, OR 97504-7107
(541) 779-2095
Mailing address
309 GENESSEE ST, MEDFORD, OR 97504-7107
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1095T
OR
Other
Enumeration date
04/19/2007
Last updated
12/04/2007
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