Individual
DEBORAH L COATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1074 PATTERSON RD, DAYTON, OH 45420-1522
(937) 254-3988
(937) 254-1005
Mailing address
1074 PATTERSON RD, DAYTON, OH 45420-1522
(937) 254-3988
(937) 254-1005
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
34.003893
OH
208VP0000X
Pain Medicine Physician
34003893
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0673614
—
OH
01
—
P00348846
RAILROAD MEDICARE
OH
Enumeration date
09/13/2006
Last updated
02/05/2015
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