Organization
ROGUE VALLEY CHILDRENS PHYSICIANS
Active
Other names
Children and Adolescents Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JERI L SULLIVAN (OFFICE MANAGER)
(541) 779-1300
Entity
Organization
Contact information
Practice address
2940 DOCTORS PARK DR, MEDFORD, OR 97504-8127
(541) 779-1300
(541) 779-9171
Mailing address
2940 DOCTORS PARK DR, MEDFORD, OR 97504-8127
(541) 779-1300
(541) 779-9171
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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