Male or Other

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

Provider Address