G JASON WILKS DPM PC

ROSEBURG, OR
NPI1639614647
Entity TypeOrganization
Authorized ContactG JASON WILKS
Owner
541-673-0742
Organization Subpart ?No
Primary Taxonomy213E00000X Podiatrist
(Licence: OR  DP00318)
Enumeration Date2016-12-29
Last Update Date2016-12-29
Business Address
G JASON WILKS DPM PC
2564 NW EDENBOWER BLVD STE 142
ROSEBURG, OR 97471-8854
Phone number: 541-673-0742
Mailing Address
G JASON WILKS DPM PC
2564 NW EDENBOWER BLVD STE 142
ROSEBURG, OR 97471-8854
Phone number: 541-673-0742
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