Individual
DENNIS CRAIG BRONSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
536 AMBER CIR, MEDFORD, OR 97504-8111
(541) 944-2565
Mailing address
536 AMBER CIR, MEDFORD, OR 97504-8111
(541) 944-2565
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
089007224RN
OR
Other
Enumeration date
02/23/2010
Last updated
02/23/2010
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