| Physicians Medical Group, PC | |
|
1619 Nw Hawthorne Ave Ste 201 Grants Pass OR 97526-6009 | |
| (541) 474-1020 | |
| Not Available |
| Full Name | Physicians Medical Group, PC |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 1619 Nw Hawthorne Ave Ste 201, Grants Pass, Oregon |
| Authorized Official Name and Position | Vickie Stephens (OFFICE MANAGER) |
| Authorized Official Contact | 5414741020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians Medical Group, PC 1619 Nw Hawthorne Ave Ste 201 Grants Pass OR 97526-6009 Ph: (541) 474-1020 | Physicians Medical Group, PC 1619 Nw Hawthorne Ave Ste 201 Grants Pass OR 97526-6009 Ph: (541) 474-1020 |
| NPI Number | 1265542401 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 01/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265542401 | NPI | - | NPPES |
| 286799 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (NU) | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | (NU) | Secondary |
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