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Individual

RONALD G WORLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2959 SISKIYOU BLVD, STE A, MEDFORD, OR 97504-8131
(541) 854-7596
(541) 972-8682
Mailing address
700 CRATER LAKE AVE, APT 104, MEDFORD, OR 97504-6544
(541) 854-7596
(541) 972-8682

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD10533
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019802
OR
Enumeration date
01/02/2008
Last updated
09/15/2016
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