G JASON WILKS

ROSEBURG, OR
NPI1316006539
Other NameGORDON JASON WILKS
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213E00000X Podiatrist
(Licence: OR  DP00318)
Enumeration Date2006-12-06
Last Update Date2021-10-12
Business Address
G JASON WILKS DPM
1813 W HARVARD AVE STE 201
ROSEBURG, OR 97471-2754
Phone number: 541-673-0742
Mailing Address
G JASON WILKS DPM
2579 NW EDENBOWER BLVD
ROSEBURG, OR 97471-6220
Phone number: 541-673-0742
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