Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 15857 | OR |
NPI | 1023120540 |
---|---|
Provider Name | Dr. June Symens |
First Address | Medford, OR 97504-8159 |
Second Address | Medford, OR 97504-8491 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 19/01/2010 |