Organization
ENHANCED MEDICAL IMAGING OF COOS BAY LLC
Active
Other names
SOUTH COAST RADIOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC WNUCK (CEO)
(541) 267-5411
Entity
Organization
Contact information
Practice address
2650 N 17TH ST, COOS BAY, OR 97420-2134
(541) 267-5411
(541) 267-4898
Mailing address
2650 N 17TH ST, COOS BAY, OR 97420-2134
(541) 267-5411
(541) 267-4898
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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