Individual provider · Type 1 NPI

Douglas James Ammerman, MD

Student in an Organized Health Care Education/Training Program · Medford, OR

NPI number 1740622604 Active

Practice location

1111 Crater Lake Ave
Medford, OR 97504-6241

Call (541) 732-5545 Map

Fax (541) 732-5548

Specialties and licenses

TaxonomyCodeLicense
Hospitalist Physician 208M00000XMD212217 (OR)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1740622604

Douglas James Ammerman, MD's National Provider Identifier is 1740622604, issued on Jul 20, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Medford, OR. The record was last updated on Jan 4, 2023.