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Organization

PLASTIC SURGERY SPECIALISTS PC

Active
Other names
Ronald G. Worland, M.D.
Organization subpart
No

Provider details

NPI number
Authorized official
RONALD GLENN WORLAND M.D. (OWNER)
(541) 773-2110
Entity
Organization

Contact information

Practice address
2959 SISKIYOU BLVD, SUITE A, MEDFORD, OR 97504-8131
(541) 773-2110
(541) 734-7368
Mailing address
2959 SISKIYOU BLVD, SUITE A, MEDFORD, OR 97504-8131
(541) 773-2110
(541) 734-7368

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD10533
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019802
OR
Enumeration date
12/07/2006
Last updated
01/20/2012
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