Organization
MEDFORD RADIOLOGICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TROYCHAK MD (PRESIDENT)
(541) 773-2493
Entity
Organization
Contact information
Practice address
648 CHETCO AVE, BROOKINGS, OR 97415
(541) 412-2070
Mailing address
PO BOX 2947, UNIT 1001, PORTLAND, OR 97208-2947
(559) 455-4000
(770) 776-5992
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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