Organization
HEART CLINIC OF SOUTHERN OREGON & NORTHERN CALIFORNIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REGAN W DAILEY (BUSINESS OFFICE MANAGER)
(541) 282-6620
Entity
Organization
Contact information
Practice address
520 MEDICAL CENTER DR, SUITE 200, MEDFORD, OR 97504-4314
(541) 282-6600
(541) 282-6608
Mailing address
520 MEDICAL CENTER DR, STE 200, MEDFORD, OR 97504-4334
(541) 282-6600
(541) 282-6608
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130327
—
OR
01
—
CG2868
RAILROAD MEDICARE
OR
Enumeration date
10/04/2005
Last updated
06/24/2008
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