208200000X
Coos Bay, OR
Specialty
208200000X
Credential
M.D.
NPI
1023455490
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 208200000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 208200000X