Organization
JAMES J COYLE, MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER CLARK (ACCTS MANAGER)
(314) 994-0313
Entity
Organization
Contact information
Practice address
226 S WOODS MILL RD STE 35, CHESTERFIELD, MO 63017-3662
(314) 548-6860
(314) 944-0373
Mailing address
226 S WOODS MILL RD STE 35W, CHESTERFIELD, MO 63017-3442
(314) 994-0313
(314) 994-0373
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
117979
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205055700
—
MO
Enumeration date
08/30/2006
Last updated
12/10/2019
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