Individual
DR. JON DAVID IGELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2959 SISKIYOU BLVD, #B, MEDFORD, OR 97504-8131
(541) 773-3636
(541) 773-4643
Mailing address
2959 SISKIYOU BLVD, #B, MEDFORD, OR 97504-8131
(541) 773-3636
(541) 773-4643
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD21548
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092611
—
OR
Enumeration date
06/10/2006
Last updated
04/19/2010
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