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Individual

DR. JOSEPH CHISUNG KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
842 E MAIN ST, MEDFORD, OR 97504-7134
(541) 773-2493
(541) 779-3027
Mailing address
842 E MAIN ST, MEDFORD, OR 97504-7134
(541) 773-2493
(541) 779-3027

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD151018
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500623904
OR
Enumeration date
04/22/2009
Last updated
12/15/2021
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