Organization
COASTAL MEDICAL GROUP, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA S CORLEY MD (PRESIDENT)
(360) 582-2840
Entity
Organization
Contact information
Practice address
840 N 5TH AVE, SUITE 1500, SEQUIM, WA 98382-3045
(360) 582-2840
(360) 582-2841
Mailing address
840 N 5TH AVE, SUITE 1500, SEQUIM, WA 98382-3045
(360) 582-2840
(360) 582-2841
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7111487
—
WA
Enumeration date
09/10/2007
Last updated
09/10/2007
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