208100000X
Coos Bay, OR
Specialty
208100000X
Credential
MD
NPI
1457543761
1900 Woodland Dr, Coos Bay, OR 97420
(541) 267-5151Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 208100000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 208100000X