Individual
ALAN JOSEPH KOFFRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2108 E 3RD ST STE 200, CHATTANOOGA, TN 37404-2624
(423) 267-0466
Mailing address
979 E 3RD ST STE 300, CHATTANOOGA, TN 37403-2187
(423) 267-0466
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
61833
TN
208600000X
Surgery Physician
61833
TN
2086S0102X
Surgical Critical Care Physician
036090432
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036090432
—
IL
Enumeration date
06/30/2006
Last updated
11/03/2020
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