Organization
ROGUE VALLEY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM J SLOAN (CFO)
(541) 842-9649
Entity
Organization
Contact information
Practice address
2900 DOCTORS PARK DR, MEDFORD, OR 97504-8127
(541) 842-9649
(541) 282-2237
Mailing address
2900 DOCTORS PARK DR, MEDFORD, OR 97504-8127
(541) 842-9649
(541) 282-2237
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207VG0400X
Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170051
—
OR
05
—
170079
—
OR
05
—
230440
—
OR
05
—
288009
—
OR
Enumeration date
09/22/2005
Last updated
07/07/2015
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