Dr. Jere Sandefur, M.D.
in Medford, OR. Individual provider (NPI-1).
NPI number1790744928
StatusActive
Last updated in NPPESAug 5, 2010
Details
- NPI
- 1790744928
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jere Sandefur
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 17, 2006
- Last updated
- Aug 5, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0001X | MD16513 | OR | Yes |
Practice location
2825 E Barnett RdMedford, OR 97504-8332
Phone 541-789-4263
Mailing address
Po Box 8509Medford, OR 97501-5009
Phone 541-772-0023
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