Individual
DR. JOHN CLIFTON BRAWNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1297 GARDNER WAY, MEDFORD, OR 97504-9300
(541) 779-4348
(541) 779-4348
Mailing address
1297 GARDNER WAY, MEDFORD, OR 97504-9300
(541) 779-4348
(541) 779-4348
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD13941
OR
2086S0129X
Vascular Surgery Physician
MD13941
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
221911
—
OR
01
—
4898004
BLUE CROSS
OR
Enumeration date
10/17/2006
Last updated
09/08/2008
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