Individual
TED E COFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
18471 E QUEEN CREEK RD STE 102, QUEEN CREEK, AZ 85242-3628
(480) 988-7488
Mailing address
18471 E QUEEN CREEK RD STE 102, QUEEN CREEK, AZ 85242-3628
(480) 988-7488
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
853
AZ
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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