Organization
DEGRAZIA WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARISSA STULTS (BUSINESS MANAGER)
(541) 890-5217
Entity
Organization
Contact information
Practice address
3210 HILLCREST PARK DR, SUITE 100, MEDFORD, OR 97504-7693
(541) 494-8888
(541) 494-1300
Mailing address
3210 HILLCREST PARK DR, SUITE 100, MEDFORD, OR 97504-7693
(541) 494-8888
(541) 494-1300
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
201500652NP-PP
OR
Other
Enumeration date
04/12/2016
Last updated
05/18/2016
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