Doctor Name: | JOE A PASTRANO |
NPI Number: | 1619946563 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 11297 |
Business Practice Address: | 842 E Main St Medford, OR - 975047134 |
Business Phone Number: | 5417732493 |
Business Fax Number: | 5417793027 |
Mailing Address: | Po Box 1747, MEDFORD |
State: | OR |
Postal Code: | 975010136 |
Phone Number: | 5417732493 |
Fax Number: | 5417793027 |
NPI Enumeration Date: | 03/14/2006 |
NPI Last Update Date: | 04/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 11297 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |