Individual
RANDALL CRAIG COFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
607 28 1/4 RD, GRAND JUNCTION, CO 81506-6023
(970) 243-3300
(970) 243-4464
Mailing address
PO BOX 1687, GRAND JUNCTION, CO 81502-1687
(970) 243-3300
(970) 243-4464
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23765
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
717340
—
AZ
Enumeration date
06/16/2006
Last updated
05/31/2016
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