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Individual

DR. JONATHAN BRAD EGBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2570 NW EDENBOWER BLVD STE 100, ROSEBURG, OR 97471-6214
(541) 677-7200
(541) 229-3309
Mailing address
2570 NW EDENBOWER BLVD STE 100, ROSEBURG, OR 97471-6214
(541) 677-7200
(541) 229-3309

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CHIA1449
ID
207Q00000X
Family Medicine Physician
098-T2
WY
207Q00000X
Family Medicine Physician
Primary
MD193108
OR

Other

Enumeration date
03/09/2011
Last updated
04/25/2022
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