Central Coast Internal Medicine, P.c.

NPI #1811076896 in Newport, Oregon

Provider Information

NPI Number: 1811076896
Entity Type: Organization
Organization Name: Central Coast Internal Medicine, P.c.
Primary Specialty: Internal Medicine
Enumeration Date: Nov 2, 2006
Last Updated: Apr 9, 2009

Practice Location

Address: 775 SW 9TH ST
Address 2: SUITE B
City: Newport
State: Oregon
ZIP Code: 97365-4895
Phone: (541) 265-2007

Authorized Official

Name: DAVID C LONG, M.D.
Title: OWNER
Phone: (541) 265-2007

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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