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Organization

RADIOLOGY ASSOCIATES COASTAL REGION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHAN THIEDE MD (PRESIDENT)
(541) 912-7343
Entity
Organization

Contact information

Practice address
1775 THOMPSON RD, COOS BAY, OR 97420-2125
(541) 269-8111
Mailing address
PO BOX 1475, EUGENE, OR 97440-1475
(541) 681-8586

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
04/22/2021
Last updated
06/01/2021
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