Individual
STEVEN BOYCE COKER
Active
Individual
STEVEN BOYCE COKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
036065689
IL
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
036065689
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036065689
—
IL
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
206147022
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
12/20/2006
Last updated
03/17/2018
Update your record
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