| Robert L Nutting | |
|
328 S Central Ave Medford OR 97501-7274 | |
| (541) 500-8655 | |
| (800) 433-1396 |
| Full Name | Robert L Nutting |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 328 S Central Ave, Medford, Oregon |
| Authorized Official Name and Position | Robert Nutting (OWNER) |
| Authorized Official Contact | 5416605714 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert L Nutting Po Box 1787 Medford OR 97501-0261 Ph: (541) 500-8655 | Robert L Nutting 328 S Central Ave Medford OR 97501-7274 Ph: (541) 500-8655 |
| NPI Number | 1073218889 |
|---|---|
| Provider Enumeration Date | 04/03/2023 |
| Last Update Date | 04/03/2023 |
| Certification Date | 04/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073218889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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