Individual
JOSEPH EDWARD DZIADOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
665 WINTER STREET SE, C/O ED-SALEM HOSPITAL, SALEM, OR 97301
(503) 561-5634
Mailing address
2469 CRESTMONT CIR S, SALEM, OR 97302-3663
(503) 375-9705
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD25858
OR
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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