# COKER MEDICAL, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275457509
- **Authorized official:** LARRY DONNY COKER MD (SOLE OWNER)
- **Authorized official phone:** (479) 263-0611

## Contact information

- **Practice address:** 1267 N STEAMBOAT DR STE 3, FAYETTEVILLE, AR 72704-7148
- **Practice address phone:** (479) 263-0611
- **Mailing address:** 1267 N STEAMBOAT DR STE 3, FAYETTEVILLE, AR 72704-7148
- **Mailing address phone:** (479) 263-0611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/07/2026
- **Last updated:** 08/09/2026