SOUTH COAST DERMATOLOGY LLC

COOS BAY, OR
NPI1114567377
Entity TypeOrganization
Authorized ContactWILLIAM WALLACE WEBSTER
Owner
541-297-5342
Organization Subpart ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
Enumeration Date2020-01-15
Last Update Date2020-01-15
Business Address
SOUTH COAST DERMATOLOGY LLC
620 COMMERCIAL AVE
COOS BAY, OR 97420-1846
Phone number: 541-808-3860
Mailing Address
SOUTH COAST DERMATOLOGY LLC
620 COMMERCIAL AVE
COOS BAY, OR 97420-1846
Phone number: 541-808-3860
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