Individual
MARY ELIZABETH COFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9451 HURON ST, THORNTON, CO 80260-5426
(303) 650-4042
Mailing address
9451 HURON ST, THORNTON, CO 80260-5426
(303) 650-4042
(303) 650-4046
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2405
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356427348
—
CO
05
—
69185735
—
CO
Enumeration date
10/31/2006
Last updated
11/18/2020
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