Individual
MR. MIKEL E COATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
1885 TERRIER AVE, SUITE 100, VIRGINIA BEACH, VA 23461-2205
(757) 314-7200
Mailing address
617 SUHTAI CT APT 302, VIRGINIA BEACH, VA 23451-6074
(301) 592-7759
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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