SISKIYOU VITAL MEDICINE LLC

MEDFORD, OR
NPI1407442338
Entity TypeOrganization
Authorized ContactGREGORY MCCLANE DUNCAN
Owner/Member
541-210-5687
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Additional Taxonomies261QC1500X Clinic/Center, Community Health
261QI0500X Clinic/Center, Infusion Therapy
261QM1300X Clinic/Center, Multi-Specialty
207Q00000X Family Medicine
Enumeration Date2020-12-15
Last Update Date2020-12-15
Business Address
SISKIYOU VITAL MEDICINE LLC
940 ELLENDALE DR # 102
MEDFORD, OR 97504-8216
Phone number: 541-210-5687
Mailing Address
SISKIYOU VITAL MEDICINE LLC
940 ELLENDALE DR # 102
MEDFORD, OR 97504-8216
Phone number: 541-210-5687