Individual
DR. BRIAN STUART COAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
2008-01041
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2023318
MEDICARE PTAN
NC
Enumeration date
05/21/2008
Last updated
08/18/2020
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