Individual
CLARINE I COKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
201 RIDGE ST, SUITE 201, COUNCIL BLUFFS, IA 51503-4643
(712) 322-5899
(712) 322-5730
Mailing address
201 RIDGE ST, SUITE 201, COUNCIL BLUFFS, IA 51503-4643
(712) 322-5899
(712) 322-5730
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23346
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3200352
—
IA
Enumeration date
10/24/2005
Last updated
08/09/2011
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