Individual
DR. BRIAN COATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
999 N CURTIS RD STE 415, BOISE, ID 83706-1334
(208) 302-2600
(208) 302-2625
Mailing address
3340 E GOLDSTONE DR, MERIDIAN, ID 83642-1026
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5837
AZ
208600000X
Surgery Physician
Primary
O-1566
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578769683
HEALTH NET
AZ
05
—
721093
—
AZ
Enumeration date
06/25/2007
Last updated
08/30/2022
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