Individual
JILL A ANTOINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1093 ROYAL CT, MEDFORD, OR 97504-6130
(541) 773-7273
(541) 773-2027
Mailing address
PO BOX 1705, MEDFORD, OR 97501-0132
(541) 773-7273
(541) 773-2027
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
218621
MA
207L00000X
Anesthesiology Physician
G85473
CA
207L00000X
Anesthesiology Physician
Primary
MD192745
OR
Other
Enumeration date
04/21/2006
Last updated
11/18/2019
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