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Individual

ADAM CHRISTOPHER AUFDERHEIDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
748 STATE ST, MEDFORD, OR 97504-8473
(541) 842-2020
(541) 842-2022
Mailing address
256 YALE DR, MEDFORD, OR 97504-9736
(541) 842-2020
(541) 842-2022

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
51281
TN
207W00000X
Ophthalmology Physician
9407515
KS
207W00000X
Ophthalmology Physician
Primary
MD176895
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MD176895
OREGON MEDICAL LICENSE
OR
Enumeration date
06/30/2010
Last updated
07/13/2020
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