Dr. Cory Aden-wansbury M.D.
Clinic/Center in Medford, OR(View on Map)
Full Name
Dr. Cory Aden-wansbury M.D.
NPI Number
1033145578
NPI Type
Individual Provider
Gender
Male
Enumeration Date
06/25/2006
Specialties
(Taxonomies)Code
261Q00000X
207YX0602X
261QP2400X
Primary Taxonomy
Yes
No
No
Licenses
State
California
Oregon
License Number
G22730
MD23944
Contact
Information
Purpose
Mailing
Location
Address
6151 DARK HOLLOW RD
6151 DARK HOLLOW RD
City
Medford
Medford
State
OR
OR
Postal Code
97501-4866
97501-4866
Country
US
US
Telephone Number
(541) 512-8814
(541) 512-8814
Identifiers
Identifier
00G227300
Identifier State
CA
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/15/2008