Individual
DR. PAUL DOUGLAS COFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
3450 S LAKEPORT ST, SUITE B, SIOUX CITY, IA 51106-4509
(712) 255-5048
(712) 255-5263
Mailing address
3450 S LAKEPORT ST, SUITE B, SIOUX CITY, IA 51106-4509
(712) 255-5048
(712) 255-5263
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
275
NE
213E00000X
Podiatrist
Primary
362
IA
213E00000X
Podiatrist
99
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184655
—
IA
Enumeration date
09/09/2005
Last updated
11/19/2007
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