Individual
MARION P. COFFELT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
1ST ASSIST
Contact information
Practice address
1532 LONE OAK RD, SUITE 445, PADUCAH, KY 42003-7913
(270) 538-5830
(270) 538-5835
Mailing address
1532 LONE OAK RD, SUITE 445, PADUCAH, KY 42003-7913
(270) 538-5830
(270) 538-5835
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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