Southern Oregon Foot & Ankle, Llc
Foot Surgery Podiatrist in Medford, OR(View on Map)
Legal Business Name
Southern Oregon Foot & Ankle, Llc
NPI Number
1891980546
NPI Type
Organization
Enumeration Date
09/06/2007
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
1904 E BARNETT RD
1904 E BARNETT RD
City
Medford
Medford
State
OR
OR
Postal Code
97504-8262
97504-8262
Country
US
US
Telephone Number
(541) 776-3338
(541) 776-3338
Authorized Official
Name
Evan Merrill
Title or Position
OWNER
Telephone Number
(541) 776-3338
Identifiers
Identifier
243148
891269000
Identifier State
OR
OR
Identifier Issuer
Unknown
BLUE CROSS GROUP #
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/16/2020