NPI 1437140043
Jerry G Warren, MD
Practice location
- Address
- 621 SE Cass Ave Suite 126, Roseburg, OR 97470-3123
- Phone
- (541) 580-0304
- Mailing address
- 220 N River Dr, Roseburg, OR 97470-8009
Registered specialties
Diagnostic Radiology Physician
Primary
Registry record
- NPI
- 1437140043
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 2 Nov 2005
- Record last updated
- 29 Aug 2014
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.