Individual
JAY H BECKSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2825 E BARNETT RD, MEDFORD, OR 97504-8332
(541) 789-4191
Mailing address
PO BOX 1470, PHOENIX, OR 97535-1470
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
16507
OR
Other
Enumeration date
06/15/2005
Last updated
01/15/2008
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