Individual
BRIAN DUANE PRESTWICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
70 BOWER DR, MEDFORD, OR 97501-3689
(541) 734-3430
(541) 734-3638
Mailing address
148 E HERSEY ST, ASHLAND, OR 97520-1359
(541) 326-4777
(541) 708-6372
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G64321
CA
207Q00000X
Family Medicine Physician
MD203193
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192219417
NPI
CA
05
—
500790439
—
OR
Enumeration date
10/05/2006
Last updated
03/07/2023
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