NPI 1114018975
Diversified Security Group
Practice location
- Address
- 836 E Main St STE 6, Medford, OR 97504-7115
- Phone
- (541) 779-5611
- Fax
- (541) 779-6355
Authorised official
- Name
- Matthew Robert Duncan
- Title
- Owner
- Phone
- (541) 779-5611
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1114018975
- Entity type
- Organization
- NPI issued
- 27 Sep 2006
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.