Wesley R Coffman PA

NPI 1063542355 - Physician Assistant - 363A00000X

NPI Details
NPI 1063542355
Gender Male
Enumeration Date 03/06/2007
Last Updated 09/07/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1000 NO 16TH ST
NEW CASTLE IN, 47362, US
Phone (765) 521-1159
Fax (317) 870-0499
Business Location
2449 RELIABLE PKWY
CHICAGO IL, 60686-0024, US
Phone (317) 802-3141
Fax (317) 870-0499
Toxanomy
Taxonomy Code 363A00000X
License State Indiana
License Number 10000910A
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According to our database, Wesley R Coffman PA NPI is 1063542355, taxonomy code is 363A00000X and license number is 10000910A, license state is located at Indiana. Wesley R Coffman PA physically located at 1000 No 16th St, New Castle IN, 47362. NPI Number Wesley R Coffman PA has the Individual type.

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1063542355 NPI number is provided on an as is basis without warranty of any kind. 1063542355 is maintained by the National Plan & Provider Enumeration System. The contents of Wesley R Coffman PA are for informational purposes only.