BRENT JERROD BOSE MD
Individual Provider (NPI-1)
Active
Radiology, Vascular & Interventional Radiology
Provider Information
- NPI Number
1841435047- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 842 E MAIN ST, MEDFORD, OR, 975047134
- Phone
- (541) 618-5800
- Fax
- (541) 779-3027
Specialties & Taxonomies
Radiology, Vascular & Interventional Radiology
License: NH #15785
Radiology, Vascular & Interventional Radiology
Primary License: OR #MD161662
All Addresses
MAILING
842 E MAIN ST
MEDFORD, OR, 975047134