JAY JONATHAN RICHARDS

ROSEBURG, OR
NPI1225214489
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OR  DO164085)
Enumeration Date2008-01-17
Last Update Date2017-12-11
Business Address
JAY JONATHAN RICHARDS DO
150 NE KENNETH FORD DR
ROSEBURG, OR 97470-1042
Phone number: 541-672-9596
Mailing Address
JAY JONATHAN RICHARDS DO
150 NE KENNETH FORD DR
ROSEBURG, OR 97470-1042
Phone number: 541-672-9596
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