Organization
GERIATRIC CONSULTATION SERVICE OF SOUTHERN OREGON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN BRUMMER (PRESIDENT)
(541) 608-7562
Entity
Organization
Contact information
Practice address
2960 DOCTORS PARK DR, MEDFORD, OR 97504-8127
(541) 608-7562
Mailing address
1208 BEALL LN, CENTRAL POINT, OR 97502-1573
(541) 664-5151
(541) 664-5155
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
05/11/2006
Last updated
11/26/2007
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