Individual
DR. MICHAEL W COATNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
27 MONTEBELLO RD, PUEBLO, CO 81001-1236
(719) 545-1530
(719) 545-2899
Mailing address
27 MONTEBELLO RD, PUEBLO, CO 81001-1236
(719) 545-1530
(719) 545-2899
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
26757
CO
207W00000X
Ophthalmology Physician
A1218-03
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01267574
—
CO
01
—
0452890001
MEDICARE DMERC
CO
01
—
0452890003
MEDICARE DMERC
NM
01
—
180008154
RAILROAD MEDICARE
CO
01
—
608439600
US DEPT OF LABOR WORK COM
CO
05
—
85432067
—
NM
01
—
92072402082
EYE SPECIALISTS
CO
01
—
CO6757
EYEMED EYE CARE
CO
01
—
K2018
ANTHEM BCBS
CO
01
—
NM004B11
NEW MEXICO BCBS
NM
01
—
P00125009
RAILROAD MEDICARE
NM
Enumeration date
05/12/2006
Last updated
07/09/2007
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