Provider Demographics
NPI:1679830566
Name:TABLER, BRITTANY LEIGH (MD)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:LEIGH
Last Name:TABLER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2825 E BARNETT RD # MSS
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97504-8332
Mailing Address - Country:US
Mailing Address - Phone:541-507-2110
Mailing Address - Fax:541-479-6779
Practice Address - Street 1:537 UNION AVE FL 2
Practice Address - Street 2:
Practice Address - City:GRANTS PASS
Practice Address - State:OR
Practice Address - Zip Code:97527-5543
Practice Address - Country:US
Practice Address - Phone:541-507-2110
Practice Address - Fax:541-479-6779
Is Sole Proprietor?:No
Enumeration Date:2012-04-16
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD60783054208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery