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Individual

DR. MICHAEL EDWARD COGGINS JR.

Active
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Individual

DR. MICHAEL EDWARD COGGINS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC, PA-C

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
DC24318
CA
363A00000X
Physician Assistant
Primary
PA17691
CA

Other

Enumeration date
07/10/2006
Last updated
11/30/2021
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