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Organization
COFAS INC
Active
Organization
COFAS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES KEITH COFAS MD (OWNER/MD)
(541) 882-3818
Entity
Organization
Contact information
Practice address
2218 SHALLOCK AVE, KLAMATH FALLS, OR 97601-4290
(541) 882-3818
(541) 882-9800
Mailing address
2218 SHALLOCK AVE, KLAMATH FALLS, OR 97601-4290
(541) 882-3818
(541) 882-9800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD11585
OR
207R00000X
Internal Medicine Physician
Primary
MD25846
OR
363A00000X
Physician Assistant
PA01446
OR
Other
Enumeration date
03/27/2006
Last updated
05/16/2019
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