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Southern Oregon Ear Nose & Throat P C
Facial Plastic Surgery Physician in Medford, Oregon
NPI 1821274317

Southern Oregon Ear Nose & Throat P C is a Facial Plastic Surgery Physician based in Medford, OR and is specialized in Facial Plastic Surgery. Southern Oregon Ear Nose & Throat P C practices in Medford, OR. The NPI Number for Southern Oregon Ear Nose & Throat P C is 1821274317 and holds a License No. MD17390 (Oregon).

The current practice location address for Southern Oregon Ear Nose & Throat P C is 555 Black Oak Dr Ste 210, Medford, OR and can be reached out via phone at 541-734-3540.

Location: 555 Black Oak Dr Ste 210, Medford, OR, 97504-8491
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821274317
Provider Name
Southern Oregon Ear Nose & Throat P C
Credential
Provider Entity Type
Organization
Address
555 Black Oak Dr Ste 210, Medford, OR, 97504-8491
Phone Number
541-734-3540
Fax Number
Provider Enumeration Date
01/14/2008
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
555 Black Oak Dr Ste 210
City
Medford
State
Oregon
Zip
97504-8491
Phone Number
541-734-3540
Fax Number
person
Provider Business Mailing Address Details
Address
555 Black Oak Dr Ste 210
City
Medford
State
Oregon
Zip
97504-8491
Phone Number
541-734-3540
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Facial Plastic Surgery
Taxonomy
207YS0123X
License No.
MD17390 (Oregon)
Definition
An otolaryngologist who specializes in facial plastic surgery.
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