Provider Demographics
NPI:1265431944
Name:BINETTE, ALAN A (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:A
Last Name:BINETTE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:691 MURPHY RD
Mailing Address - Street 2:SUITE 232
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97504-4346
Mailing Address - Country:US
Mailing Address - Phone:541-773-3018
Mailing Address - Fax:541-773-3093
Practice Address - Street 1:691 MURPHY RD
Practice Address - Street 2:SUITE 232
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-4346
Practice Address - Country:US
Practice Address - Phone:541-773-3018
Practice Address - Fax:541-773-3093
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ORMD14303207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR124552Medicaid
ORC94084Medicare UPIN
OR124552Medicaid