Coastal Cardiology LLC

NPI #1609882216 in Brookings, Oregon

Provider Information

NPI Number
1609882216
Entity Type
Organization
Organization Name
Coastal Cardiology LLC
Primary Specialty
Internal Medicine - Cardiovascular Disease
Enumeration Date
Aug 1, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
412 ALDER ST
State
Oregon
ZIP Code
97415-9014
Phone
(541) 412-7799

Authorized Official

Name
MR. RICHARD BODAGER
Title
CEO
Phone
(541) 789-5600

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Cardiovascular DiseaseCardiovascular Disease

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