Individual
DR. GARY DWAYNE JOSEPHSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1460 G STREET, SPRINGFIELD, OR 97477
(541) 726-4580
Mailing address
1460 G STREET, SPRINGFIELD, OR 97477
(541) 726-4580
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A097804
CA
Other
Enumeration date
07/10/2007
Last updated
09/19/2011
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