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Individual

TIMOTHY F COYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
9321 W THOMAS RD STE 320, PHOENIX, AZ 85037-3395
(623) 935-5522
Mailing address
10200 GRAND CENTRAL AVE STE 220, OWINGS MILLS, MD 21117-4366
(623) 935-5522

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3171
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004411
AZ
Enumeration date
02/11/2006
Last updated
08/06/2026
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