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Organization
ROOSEVELT MEDICAL CENTER TRUST
Active
Organization
ROOSEVELT MEDICAL CENTER TRUST
Active
Other names
JAMES C COGHLAN, MD
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES WILLIAM SCHNEIDER (PRES/CEO)
(206) 368-1700
Entity
Organization
Contact information
Practice address
1530 N 115TH ST, SUITE 303, SEATTLE, WA 98133-8411
(206) 368-1933
(206) 368-1931
Mailing address
1530 N 115TH ST, SUITE 303, SEATTLE, WA 98133-8411
(206) 368-1933
(206) 368-1931
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18416
WA
Other
Enumeration date
06/20/2006
Last updated
04/05/2011
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