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1467488130
GORDON LEE GENSKOW
MEDFORD, OR
NPI
1467488130
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: OR 13161)
Enumeration Date
2006-06-24
Last Update Date
2011-12-23
Business Address
GORDON LEE GENSKOW MD
842 E MAIN ST
MEDFORD, OR 97504-7134
Phone number: 541-773-7273
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Mailing Address
GORDON LEE GENSKOW MD
PO BOX 1705
MEDFORD, OR 97501-0132
Phone number: 541-773-7273
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