Organization
SOUTHERN OREGON SPINE CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK PETERSON MD (DOCTOR)
(541) 770-5007
Entity
Organization
Contact information
Practice address
1311 BARNETT ROAD STE 201, MEDFORD, OR 97504
(541) 770-5007
Mailing address
1311 BARNETT ROAD STE 201, MEDFORD, OR 97504
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
MD18861
OR
Other
Enumeration date
07/24/2013
Last updated
09/17/2013
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