Myron B Licht D.O.

NPI 1427131226 - Internal Medicine - 207RC0000X

NPI Details
NPI 1427131226
Gender Male
Enumeration Date 10/23/2006
Last Updated 02/27/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1750 THOMPSON RD
COOS BAY OR, 97420-2100, US
Phone (541) 269-0333
Fax
Business Location
1750 THOMPSON RD
COOS BAY OR, 97420-2100, US
Phone (541) 269-0333
Fax
Toxanomy
Taxonomy Code 207RC0000X
License State Oregon
License Number DO158099
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According to our database, Dr. Myron B Licht D.O. NPI is 1427131226, taxonomy code is 207RC0000X and license number is DO158099, license state is located at Oregon. Myron B Licht D.O. physically located at 1750 Thompson Rd, Coos Bay OR, 97420-2100. NPI Number Myron B Licht D.O. has the Individual type.

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1427131226 NPI number is provided on an as is basis without warranty of any kind. 1427131226 is maintained by the National Plan & Provider Enumeration System. The contents of Myron B Licht D.O. are for informational purposes only.