Individual
DR. NANCY CAROLYN O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3932 SOUTHVIEW TER, MEDFORD, OR 97504-9367
(541) 261-1122
Mailing address
3932 SOUTHVIEW TER, MEDFORD, OR 97504-9367
(541) 261-1122
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD27835
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139572
MEDICARE
OR
05
—
241576
—
OR
01
—
4898020
BLUE CROSS
OR
Enumeration date
03/28/2006
Last updated
09/27/2021
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