Individual
DAVID COONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3124 S 19TH ST, TACOMA, WA 98405-2433
(253) 459-7000
Mailing address
3124 S 19TH ST, TACOMA, WA 98405-2433
(253) 459-7000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
L0103
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
OP00002026
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0069KA
BCBS
TX
05
—
134307113
—
TX
Enumeration date
07/19/2006
Last updated
12/21/2011
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