Individual
DR. WALTER CHRISTOPHER COATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3501 W TRUMAN BLVD # A, JEFFERSON CITY, MO 65109-0514
(573) 636-0635
(573) 659-4685
Mailing address
3501 W TRUMAN BLVD # A, JEFFERSON CITY, MO 65109-0514
(573) 636-0635
(573) 659-4685
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
58.001803
OH
207RC0000X
Cardiovascular Disease Physician
036127845
IL
207RC0000X
Cardiovascular Disease Physician
Primary
2008010692
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
504645102
—
MO
Enumeration date
01/09/2008
Last updated
03/27/2014
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