Ventana Wellness, PC

NPI #1720012339 in Medford, Oregon

Provider Information

NPI Number: 1720012339
Entity Type: Organization
Organization Name: Ventana Wellness, PC
Primary Specialty: Family Medicine
Enumeration Date: Jul 10, 2006
Last Updated: Nov 16, 2015

Practice Location

Address: 3156 STATE STREET
City: Medford
State: Oregon
ZIP Code: 97504-8450
Phone: (541) 773-9772

Authorized Official

Name: MR. FRANK RICHARD NOODLEMAN, MD
Title: OWNER
Phone: (541) 773-9772

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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