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Organization
ENHANCED MEDICAL IMAGING OF COOS BAY LLC
Active
Organization
ENHANCED MEDICAL IMAGING OF COOS BAY LLC
Active
Other names
SOUTH COAST RADIOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC WNUCK (CEO)
(541) 267-5411
Entity
Organization
Contact information
Practice address
2650 N 17TH ST, COOS BAY, OR 97420-2134
(541) 267-5411
(541) 267-4898
Mailing address
2650 N 17TH ST, COOS BAY, OR 97420-2134
(541) 267-5411
(541) 267-4898
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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