Organization
CENTRAL COAST INTERNAL MEDICINE, P.C.
Active
Other names
Central Coast Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C LONG M.D. (OWNER)
(541) 265-2007
Entity
Organization
Contact information
Practice address
775 SW 9TH ST, SUITE B, NEWPORT, OR 97365-4895
(541) 265-2007
(541) 265-3533
Mailing address
775 SW 9TH ST, SUITE B, NEWPORT, OR 97365-4895
(541) 265-2007
(541) 265-3533
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214437
—
OR
01
—
CO3602
RR MEDICARE
OR
Enumeration date
11/02/2006
Last updated
04/09/2009
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