Organization
VISTA PATHOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS R TREGER MD (CORPORATE PRESIDENT)
(541) 789-4191
Entity
Organization
Contact information
Practice address
2825 E BARNETT RD, MEDFORD, OR 97504-8332
(541) 789-4191
(541) 789-5942
Mailing address
2825 E BARNETT RD, MEDFORD, OR 97504-8332
(541) 789-4191
(541) 789-5942
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283010
—
OR
Enumeration date
05/11/2006
Last updated
08/22/2020
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