Individual
JODI COATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
555 CAPITOL MALL STE 260, SACRAMENTO, CA 95814-4503
(916) 441-0400
(916) 441-0406
Mailing address
8701 HAMMERSMITH LN, FAIR OAKS, CA 95628-6300
(916) 812-9640
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A93387
CA
2086S0102X
Surgical Critical Care Physician
A93387
CA
2086S0127X
Trauma Surgery Physician
Primary
A93387
CA
Other
Enumeration date
11/14/2005
Last updated
04/02/2013
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