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Organization
MEDICAL DEPARTMENT USCG
Active
Organization
MEDICAL DEPARTMENT USCG
Active
Other names
US COAST GUARD
Organization subpart
No
Provider details
NPI number
Authorized official
RADOSLAW ALEXANDER FLORCZAK (HEALTH TECHNICIAN)
(541) 156-9159
Entity
Organization
Contact information
Practice address
2000 CONNECTICUT AVE, NORTH BEND, OR 97459-2300
(541) 156-9159
(541) 156-9617
Mailing address
MEDICAL DEPARTMENT USCG AIR STATION, 2000 CONNECTICUT AVE., NORTH BEND, OR 97459-2399
(541) 156-9159
(541) 156-9617
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
NULL
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
07/03/2007
Last updated
08/22/2020
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