EDGAR MAEYENS md
Individual Provider (NPI-1)
Active
Dermatology, MOHS-Micrographic Surgery
Provider Information
- NPI Number
1871574947- Provider Type
- Individual Provider (NPI-1)
- Credentials
- md
- Status
- Active
Contact & Location
- Address
- 375 PARK AVE SUITE 5, COOS BAY, OR, 974202242
- Phone
- (541) 267-7543
- Fax
- (541) 267-2076
Specialties & Taxonomies
Dermatology, MOHS-Micrographic Surgery
Primary License: OR #MD08528