Individual
AVON C COFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5330 N OAK TRFY, STE 201, KANSAS CITY, MO 64118-4699
(816) 454-0666
(816) 454-1694
Mailing address
5330 N OAK TRFY, STE 201, KANSAS CITY, MO 64118-4699
(816) 454-0666
(816) 454-1694
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
R7G78
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040008580
RAILROAD MEDICARE
MO
01
—
P00331181
RAILROAD MEDICARE
KS
Enumeration date
02/24/2006
Last updated
09/09/2011
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