Individual
DAVID C COY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001
(928) 773-0003
(928) 773-1170
Mailing address
PO BOX 967, FLAGSTAFF, AZ 86002-0967
(928) 773-0003
(928) 773-1170
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
94218
NM
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
35994
AZ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
35994
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
750895
—
AZ
05
—
F4843
—
NM
Enumeration date
08/25/2005
Last updated
08/27/2018
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