Individual
CHARLES NEIL VERSTEEG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2780 E BARNETT RD, SUITE 200, MEDFORD, OR 97504-8343
(541) 779-6250
(541) 608-2535
Mailing address
2780 E BARNETT RD, SUITE 200, MEDFORD, OR 97504-8343
(541) 779-6250
(541) 608-2535
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD12820
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
238055
—
OR
Enumeration date
10/13/2005
Last updated
11/15/2012
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