Individual
PETER WILLIAM COFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 MILLION DOLLAR HWY, SAINT MARYS, PA 15857-2728
(814) 781-5420
(814) 781-5483
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-6379
(814) 375-9320
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD074063
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000120653
HIGHMARK BLUE CROSS
PA
05
—
0018560960007
—
PA
Enumeration date
06/25/2006
Last updated
06/06/2012
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