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Jose Ildefonso Rodriguez Moreno, MD
Neurology Physician in Medford, Oregon
NPI 1891148854

Jose Ildefonso Rodriguez Moreno is a Neurology Physician based in Medford, OR and is specialized in Neurology. Jose Ildefonso Rodriguez Moreno practices in Medford, OR and has the professional credentials of MD. The NPI Number for Jose Ildefonso Rodriguez Moreno is 1891148854 and holds a License No. 267707 (Oregon).

The current practice location address for Jose Ildefonso Rodriguez Moreno is 2900 State St Ste 101, Medford, OR and can be reached out via phone at 541-789-5790.

Location: 2900 State St Ste 101, Medford, OR, 97504-8458
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891148854
Provider Name
Jose Ildefonso Rodriguez Moreno
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2900 State St Ste 101, Medford, OR, 97504-8458
Phone Number
541-789-5790
Fax Number
Provider Enumeration Date
07/14/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2900 State St Ste 101
City
Medford
State
Oregon
Zip
97504-8458
Phone Number
541-789-5790
Fax Number
person
Provider Business Mailing Address Details
Address
2900 State St Ste 101
City
Medford
State
Oregon
Zip
97504-8458
Phone Number
541-789-5790
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
MD202077 (Oregon)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology with Special Qualifications in Child Neurology
Taxonomy
2084N0402X
License No.
267707 (Massachusetts)
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
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