South Coast Dermatology LLC
NPI #1114567377 in Coos Bay, Oregon
Provider Information
- NPI Number
- 1114567377
- Entity Type
- Organization
- Organization Name
- South Coast Dermatology LLC
- Primary Specialty
- Nurse Practitioner - Adult Health
- Enumeration Date
- Jan 15, 2020
- Last Updated
- Jan 15, 2020
Practice Location
Authorized Official
- Name
- WILLIAM WALLACE WEBSTER, MD
- Title
- OWNER
- Phone
- (541) 297-5342
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Adult Health — Adult Health |
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