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Autumn Polidor, MD
Family Medicine Physician in Medford, Oregon
NPI 1710305875

Autumn Polidor is a Family Medicine Physician based in Medford, OR. Autumn Polidor practices in Medford, OR and has the professional credentials of MD. The NPI Number for Autumn Polidor is 1710305875 and holds a License No. (Oregon).

The current practice location address for Autumn Polidor is 19 Myrtle St, Medford, OR and can be reached out via phone at 543-773-3863 and via fax at 541-776-2892.

Location: 19 Myrtle St, Medford, OR, 97501-6638
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710305875
Provider Name
Autumn Polidor
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
19 Myrtle St, Medford, OR, 97501-6638
Phone Number
543-773-3863
Fax Number
541-776-2892
Provider Enumeration Date
04/04/2014
Last Update Date
12/14/2024
institution
Provider Business Practice Location Address Details
Address
19 Myrtle St
City
Medford
State
Oregon
Zip
97504-7337
Phone Number
543-773-3863
Fax Number
541-776-2892
person
Provider Business Mailing Address Details
Address
19 Myrtle St
City
Medford
State
Oregon
Zip
97504-7337
Phone Number
543-773-3863
Fax Number
541-776-2892
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
MD184735 (Oregon)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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