SOUTHERN OREGON CARDIOLOGY LLC NPI 1033444781

NPI Information

SOUTHERN OREGON CARDIOLOGY LLC is a cardiovascular disease internal medicine in Medford, OR. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. SOUTHERN OREGON CARDIOLOGY LLC NPI is 1033444781. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

520 MEDICAL CENTER DR
STE 200
MEDFORD, OR
ZIP 97504-314
Phone: (541) 282-6600
Fax: (541) 282-6601

The provider's authorized official is Richard Bodager .
The authorized official title is Ceo and has the following contact phone number (541) 789-5600.

The CLIA number assigned to this NPI record is 38D0973870 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/14/2009 and was last updated on 5/4/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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