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Individual

ALLAN A INOUYE

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

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD17377
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
027859
OR
Enumeration date
08/01/2006
Last updated
07/09/2007
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