Coos Clinic Llc

NPI 1124412051 - Clinic/Center - 261QP2300X

NPI Details
NPI 1124412051
Enumeration Date 03/28/2015
Last Updated 03/28/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name ANTHONY ANTHONY
Position OWNER, MANAGING MEMBER
Phone (541) 294-0257
Fax
Practice Location
320 CENTRAL AVE
SUITE 418
COOS BAY OR, 97420-2272, US
Phone (541) 294-0257
Fax
Business Location
PO BOX 1733
COOS BAY OR, 97420-0339, US
Phone
Fax
Toxanomy
Taxonomy Code 261QP2300X
License State
License Number
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According to our database, Coos Clinic Llc NPI is 1124412051, taxonomy code is 261QP2300X Coos Clinic Llc physically located at 320 Central Ave, Coos Bay OR, 97420-2272. NPI Number 1033115704 has the healthcare provider type.

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1124412051 NPI number is provided on an as is basis without warranty of any kind. 1124412051 is maintained by the National Plan & Provider Enumeration System. The contents of Coos Clinic Llc are for informational purposes only.