| Dr. King Scope Clinic, Llc | |
|
2699 N 17th St Coos Bay OR 97420-2134 | |
| (541) 269-7358 | |
| Not Available |
| Full Name | Dr. King Scope Clinic, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2699 N 17th St, Coos Bay, Oregon |
| Authorized Official Name and Position | William D. King (OWNER) |
| Authorized Official Contact | 5412697358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. King Scope Clinic, Llc 1000 Willagillespie Rd Suite 350 Eugene OR 97401-2178 Ph: (541) 343-0952 | Dr. King Scope Clinic, Llc 2699 N 17th St Coos Bay OR 97420-2134 Ph: (541) 269-7358 |
| NPI Number | 1528333010 |
|---|---|
| Provider Enumeration Date | 03/15/2012 |
| Last Update Date | 03/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528333010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD13871 (Oregon) | Primary |
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