Dr. John Retzlaff, M.D.
Internal Medicine in Medford, OR. Individual provider (NPI-1).
NPI number1124387600
StatusActive
Last updated in NPPESMay 3, 2012
Details
- NPI
- 1124387600
- Entity type
- Individual (NPI-1)
- Name
- Dr. John Retzlaff
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 3, 2012
- Last updated
- May 3, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 6359 | OR | Yes |
Practice location
6959 Pineridge DrMedford, OR 97504-9234
Phone 541-773-1862
Mailing address
6959 Pineridge DrMedford, OR 97504-9234
Phone 541-773-1862
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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