Individual
DR. JARED COFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1721 MAGNAVOX WAY, FORT WAYNE, IN 46804-1537
(260) 748-3650
(260) 569-2305
Mailing address
1721 MAGNAVOX WAY, FORT WAYNE, IN 46804-1537
(260) 748-3650
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01065791A
IN
208VP0014X
Interventional Pain Medicine Physician
Primary
01065791A
IN
Other
Enumeration date
05/27/2008
Last updated
07/28/2022
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