Medical Department Uscg

NPI #1407054323 in North Bend, Oregon

Provider Information

NPI Number
1407054323
Entity Type
Organization
Organization Name
Medical Department Uscg
Primary Specialty
Military Health Care Provider
Enumeration Date
Jul 3, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
2000 CONNECTICUT AVE
State
Oregon
ZIP Code
97459-2300
Phone
(541) 156-9159

Authorized Official

Name
RADOSLAW ALEXANDER FLORCZAK
Title
HEALTH TECHNICIAN
Phone
(541) 156-9159

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider

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