Coastal Medical Group, Ps

NPI #1679768063 in Sequim, Washington

Provider Information

NPI Number: 1679768063
Entity Type: Organization
Organization Name: Coastal Medical Group, Ps
Primary Specialty: Specialist
Enumeration Date: Sep 10, 2007
Last Updated: Sep 10, 2007

Practice Location

Address: 840 N 5TH AVE
Address 2: SUITE 1500
City: Sequim
State: Washington
ZIP Code: 98382-3045
Phone: (360) 582-2840

Authorized Official

Name: MS. REBECCA S CORLEY, MD
Title: PRESIDENT
Phone: (360) 582-2840

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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