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1982294377
SAMUEL JOSEPH DRIVER
MEDFORD, OR
NPI
1982294377
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OR PA207720)
Enumeration Date
2021-01-20
Last Update Date
2021-11-04
Business Address
SAMUEL JOSEPH DRIVER PA-C
1307 W MAIN ST
MEDFORD, OR 97501-2936
Phone number: 541-535-6239
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Mailing Address
SAMUEL JOSEPH DRIVER PA-C
931 CHEVY WAY
MEDFORD, OR 97504-4127
Phone number: 541-512-3182
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