Individual
DR. PATRICK A COFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1640 LAUREL CREEK DR, TROY, OH 45373-9500
(937) 335-3069
(949) 222-6546
Mailing address
1640 LAUREL CREEK DR, TROY, OH 45373-9500
(937) 335-3069
(949) 222-6546
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36.002088
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000002378
ANTHEM BLUE CROSS BLUE SHIELD
OH
05
—
0503075
—
OH
01
—
480001264
RAILROAD MEDICARE
OH
Enumeration date
01/15/2007
Last updated
01/26/2016
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