Individual
MARC A RASMUSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2924 SISKIYOU BLVD STE 204, MEDFORD, OR 97504-8197
(541) 779-3324
Mailing address
2924 SISKIYOU BLVD STE 204, MEDFORD, OR 97504-8197
(541) 779-3324
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
1087
FL
1223E0200X
Endodontics
Primary
32233
TX
Other
Enumeration date
07/17/2012
Last updated
05/06/2019
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