Individual
DR. RALPH KENNETH DUFFIN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
832 E MAIN ST, STE. 10, MEDFORD, OR 97504-7153
(541) 282-7653
Mailing address
832 E MAIN ST, STE. 10, MEDFORD, OR 97504-7153
(541) 282-7653
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6252
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150693
—
OR
Enumeration date
12/11/2008
Last updated
02/12/2009
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