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Individual

MARY E COON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
(602) 263-1619
Mailing address
PO BOX 95460, CLEVELAND, OH 44101-0033
(602) 581-6076
(602) 263-1619

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35082656C
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000316949
BCBS
01
000000386935
BCBS FAIRFIELD
OH
05
2448051
OH
01
P00096090
RAILROAD MEDICARE
01
P00294036
RR MEDICARE FAIRFIELD
Enumeration date
05/19/2006
Last updated
03/10/2026
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