Individual
KRISTOPHER AZEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4940 HAMRICK RD, CENTRAL POINT, OR 97502-3072
(541) 690-3600
(541) 664-3735
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127
(541) 690-3555
(541) 842-2212
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD179559
OR
Other
Enumeration date
04/13/2015
Last updated
01/20/2020
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