Individual
LEVI D VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2825 E BARNETT RD, MEDFORD, OR 97504-8332
(541) 789-7000
Mailing address
730 NOBILITY DR, MEDFORD, OR 97501-4485
(801) 200-1076
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/07/2019
Last updated
10/02/2019
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