NPI 1538402003 · live from the CMS NPI Registry
App Maternal Fetal Medicine
Obstetrics & Gynecology, Maternal & Fetal Medicine in Medford, OR. National Provider Identifier 1538402003, active.
NPI record
| NPI | 1538402003 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Obstetrics & Gynecology, Maternal & Fetal Medicine 207VM0101X |
| Practice location | 2911 Siskiyou Blvd, Medford, OR 97504 |
| Practice phone | 541-789-5982 |
| Mailing address | Po Box 748157, Los Angeles, CA 90074 |
| Enumerated | April 2, 2013 |
| Last updated | April 2, 2013 |
| Authorized official | Sheri Bodager, Vp Exective Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology, Maternal & Fetal Medicine primary | 207VM0101X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.