Individual
LOREN RODNEY BARRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2925 SISKIYOU BLVD, MEDFORD, OR 97504-8179
(541) 779-2020
(541) 770-6838
Mailing address
1408 E BARNETT RD, MEDFORD, OR 97504-8279
(541) 779-2020
(541) 770-6838
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
16171
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094334
—
OR
Enumeration date
11/09/2005
Last updated
09/18/2020
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