Individual
TYLER COFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3230 WISCONSIN AVE, JOPLIN, MO 64804-4029
(417) 347-7600
Mailing address
PO BOX 2526, JOPLIN, MO 64803-2526
(417) 347-7600
(417) 347-0293
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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