Organization
SKIN CNCR & ENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER JEAN HATFIELD (OFFICE MANAGER)
(541) 245-5400
Entity
Organization
Contact information
Practice address
1698 E MCANDREWS RD, SUITE 220, MEDFORD, OR 97504-5589
(541) 245-5400
(541) 245-5482
Mailing address
1698 E MCANDREWS RD, SUITE 220, MEDFORD, OR 97504-5589
(541) 245-5400
(541) 245-5482
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/11/2007
Last updated
11/27/2007
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