South West Internal Medicine LLC

NPI #1497203194 in Coquille, Oregon

Provider Information

NPI Number: 1497203194
Entity Type: Organization
Organization Name: South West Internal Medicine LLC
Primary Specialty: General Practice
Enumeration Date: Sep 12, 2016
Last Updated: Jun 3, 2025

Practice Location

Address: 209 N CENTRAL BLVD
City: Coquille
State: Oregon
ZIP Code: 97423-1274
Phone: (541) 329-0144

Authorized Official

Name: DR. DOUGLAS CRANE, M.D.
Title: OWNER
Phone: (541) 329-0144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
General Practice	208D00000X	Primary

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