Individual
DR. JAMES EDWARD COYLE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102203352
VA
208M00000X
Hospitalist Physician
DR.0060314
CO
Other
Enumeration date
03/16/2012
Last updated
11/19/2019
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