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Dr. Cory Aden-wansbury, MD
Prison Health Clinic/Center in Medford, Oregon
NPI 1033145578

Cory Aden-wansbury is a Prison Health Clinic/Center based in Medford, OR and is specialized in Prison Health. Cory Aden-wansbury practices in Medford, OR and has the professional credentials of MD. The NPI Number for Cory Aden-wansbury is 1033145578 and holds a License No. G22730 (Oregon).

The current practice location address for Cory Aden-wansbury is 6151 Dark Hollow Rd, Medford, OR and can be reached out via phone at 541-512-8814.

Location: 6151 Dark Hollow Rd, Medford, OR, 97501-4866
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033145578
Provider Name
Cory Aden-wansbury
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6151 Dark Hollow Rd, Medford, OR, 97501-4866
Phone Number
541-512-8814
Fax Number
Provider Enumeration Date
06/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G227300 05 CA
institution
Provider Business Practice Location Address Details
Address
6151 Dark Hollow Rd
City
Medford
State
Oregon
Zip
97501-4866
Phone Number
541-512-8814
Fax Number
person
Provider Business Mailing Address Details
Address
6151 Dark Hollow Rd
City
Medford
State
Oregon
Zip
97501-4866
Phone Number
541-512-8814
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngic Allergy
Taxonomy
207YX0602X
License No.
MD23944 (Oregon)
Definition
An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
MD23944 (Oregon)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Prison Health
Taxonomy
261QP2400X
License No.
G22730 (California)
Definition
Definition to come...
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