Whalio Doctors

NPI 1437140043

Jerry G Warren, MD

Practitioner Diagnostic Radiology Physician Roseburg, OR

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
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence MD01895 (OR)

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.