Individual
JOEL GRANT CARRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2825 E BARNETT RD, MEDFORD, OR 97504-8332
(541) 789-5493
Mailing address
1833 VALLEY VIEW DR, MEDFORD, OR 97504-2109
(541) 941-8054
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
200941813RN
OR
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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