Individual provider · Type 1 NPI

Samuel Joseph Driver, PA-C

Medical Physician Assistant · Medford, OR

NPI number 1982294377 Active

Practice location

1307 W Main St
Medford, OR 97501-2936

Mailing address

931 Chevy Way
Medford, OR 97504-4127

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA207720 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1982294377

Samuel Joseph Driver, PA-C's National Provider Identifier is 1982294377, issued on Jan 20, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Medford, OR. The record was last updated on Nov 4, 2021.