NPI 1427296623
Rogue Valley Ear, Nose, Throat & Facial Plastics PC
Practice location
- Address
- 1601 NE 6th St, Grants Pass, OR 97526-1035
- Phone
- (541) 479-2600
- Fax
- (541) 479-2990
Authorised official
- Name
- Kimberly a Kozak
- Title
- Owner
- Phone
- (541) 479-2600
Registered specialties (2)
Otolaryngology Physician
Primary
Facial Plastic Surgery Physician
Registry record
- NPI
- 1427296623
- Entity type
- Organization
- NPI issued
- 26 Jan 2009
- Record last updated
- 26 Jan 2009
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.