Individual
DR. TIMO NIILO DYGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 MEDICAL CENTER DRIVE, MEDFORD, OR 97504-4314
(541) 930-7222
Mailing address
520 MEDICAL CENTER DRIVE, MEDFORD, OR 97504-4314
(541) 930-7222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD28409
OR
207RC0000X
Cardiovascular Disease Physician
Primary
MD28409
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218702
—
OR
Enumeration date
05/14/2007
Last updated
10/21/2016
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