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Individual

CHARLES H TOLEDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1750 THOMPSON RD, COOS BAY, OR 97420-2100
(541) 269-0333
(541) 269-7389
Mailing address
1750 THOMPSON RD, COOS BAY, OR 97420-2195
(541) 269-0333
(541) 269-7389

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
31398
NC
208000000X
Pediatrics Physician
Primary
MD189415
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500752265
OR
05
6983577
NC
Enumeration date
01/23/2007
Last updated
04/09/2020
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