Individual
JOHN L COYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1250 E MARSHALL ST, EMERGENCY MEDICINE, RICHMOND, VA 23298-5051
(804) 828-0999
(804) 628-0384
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101248769
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05405
—
LA
Enumeration date
05/14/2008
Last updated
12/26/2013
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