DEREK FLACK

WHITE CITY, OR
NPI1679923098
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OR  DO191255)
Enumeration Date2016-06-16
Last Update Date2019-06-20
Business Address
DEREK FLACK DO
2841 AVENUE G
WHITE CITY, OR 97503-3024
Phone number: 309-672-4977
Mailing Address
DEREK FLACK DO
2620 E BARNETT RD STE H
MEDFORD, OR 97504-8383
Phone number:
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