Individual
DOUGLAS BERNARD KIRKPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19 MYRTLE ST, MEDFORD, OR 97504-7337
(541) 773-3863
(541) 618-4413
Mailing address
19 MYRTLE ST, MEDFORD, OR 97504-7337
(541) 773-3863
(541) 618-4413
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD16971
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227698
—
OR
Enumeration date
07/17/2006
Last updated
07/08/2007
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