Individual
FARLAN COOEYATE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
US DHHS INDIAN HEALTH SERVICE, ROUTE 301 NORTH B STREET, ZUNI, NM 87327-0467
(505) 782-4431
(505) 782-7551
Mailing address
PO BOX 467, ZUNI, NM 87327-0467
(505) 782-4431
(505) 782-7551
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
CERT. 1008587
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
S2651
—
NM
Enumeration date
07/19/2005
Last updated
07/08/2007
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