# J COFFEY MD PC

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

## Provider details

- **NPI number:** 1386755072
- **Authorized official:** SALLY ANN COFFEY (OFFICE MANAGER)
- **Authorized official phone:** (580) 225-9222

## Contact information

- **Practice address:** 1900 W 2ND ST, SUITE C, ELK CITY, OK 73644-4328
- **Practice address phone:** (580) 225-9222
- **Practice address fax:** (580) 225-1027
- **Mailing address:** 1900 W 2ND ST STE C, ELK CITY, OK 73644-4328
- **Mailing address phone:** (580) 225-9222
- **Mailing address fax:** (866) 835-6543

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 20836 | OK | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 01/30/2026