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1124134069
DIMITRIS GEROTHANASSIS
MEDFORD, OR
NPI
1124134069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MA 226334)
Enumeration Date
2006-08-22
Last Update Date
2022-04-05
Business Address
DIMITRIS GEROTHANASSIS M.D.
2825 E BARNETT RD
MEDFORD, OR 97504-8332
Phone number: 541-891-7000
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Mailing Address
DIMITRIS GEROTHANASSIS M.D.
3115 ALAMEDA ST APT 23
MEDFORD, OR 97504-9677
Phone number:
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