Individual
MARK E COGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2331 FRANKLIN RD SW, ROANOKE, VA 24014-1111
(540) 510-6200
(540) 857-5306
Mailing address
213 S JEFFERSON ST STE 625, ROANOKE, VA 24011-1713
(540) 224-5516
(540) 224-5684
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101251922
VA
207XS0117X
Orthopaedic Surgery of the Spine Physician
0101251922
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538157359
—
VA
Enumeration date
10/06/2005
Last updated
12/14/2020
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