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Individual
DR. EDWIN L. COFFMAN
Active
Individual
DR. EDWIN L. COFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
C2686
AR
208D00000X
General Practice Physician
Primary
C2686
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100078260A
—
OK
05
—
105564001
MEDICAID PROVIDER NUMBER
AR
01
—
51096
ARKANSAS BCBS
AR
Enumeration date
07/13/2005
Last updated
10/02/2008
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