Individual
DR. CHARLES KEITH COFAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2640 BIEHN ST STE 4, KLAMATH FALLS, OR 97601-1181
(541) 882-3818
(541) 882-9800
Mailing address
2640 BIEHN ST STE 4, KLAMATH FALLS, OR 97601-1181
(541) 882-3818
(541) 882-9800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD25846
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027754
—
OR
01
—
P00318106
RAILROAD MEDICARE
OR
Enumeration date
03/27/2006
Last updated
03/29/2011
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