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Individual

BRIAN LANE DOSSEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11 TRIPP ST, MEDFORD, OR 97504-7343
(541) 773-7710
Mailing address
11 TRIPP ST, MEDFORD, OR 97504-7343

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A71858
CA
207Q00000X
Family Medicine Physician
Primary
MD153277
OR

Other

Enumeration date
03/22/2012
Last updated
03/22/2012
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