| NPI | 1124412051 |
|---|---|
| Doing Business As | COOS CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANTHONY BALDACCI Owner, Managing Member 541-294-0257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2015-03-28 |
| Last Update Date | 2015-03-28 |