institution
W. Wallace Webster Md Llc
Facial Plastic Surgery Physician in Coos Bay, Oregon
NPI 1407470214

W. Wallace Webster Md Llc is a Facial Plastic Surgery Physician based in Coos Bay, OR and is specialized in Facial Plastic Surgery. W. Wallace Webster Md Llc practices in Coos Bay, OR. The NPI Number for W. Wallace Webster Md Llc is 1407470214 and holds a License No. (Oregon).

The current practice location address for W. Wallace Webster Md Llc is 620 Commercial Ave Ste A, Coos Bay, OR and can be reached out via phone at 541-297-5342 and via fax at 541-808-0415. You can also correspond with W. Wallace Webster Md Llc through the mailing address at 620 COMMERCIAL AVE STE A, COOS BAY, OR - 97420-1846 (mailing address contact number: 541-297-5342).

Location: 620 Commercial Ave Ste A, Coos Bay, OR, 97420-1846
institution
Provider Profile Details
NPI Number
1407470214
Provider Name
W. Wallace Webster Md Llc
Credential
Provider Entity Type
Organization
Address
620 Commercial Ave Ste A, Coos Bay, OR, 97420-1846
Phone Number
541-297-5342
Fax Number
541-808-0415
Provider Enumeration Date
06/08/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
274244 05 OR
institution
Provider Business Practice Location Address Details
Address
620 Commercial Ave Ste A
City
State
Zip
97420-1846
Phone Number
541-297-5342
Fax Number
541-808-0415
person
Provider Business Mailing Address Details
Address
620 Commercial Ave Ste A
City
State
Zip
97420-1846
Phone Number
541-297-5342
Fax Number
541-808-0415
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Facial Plastic Surgery
Taxonomy
License No.
()
Definition
An otolaryngologist who specializes in facial plastic surgery.
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