Individual
JAMIE P COFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2451 E BASELINE RD, STE. C-230, GILBERT, AZ 85234-2471
(480) 892-3180
(480) 892-1891
Mailing address
PO BOX 793, GILBERT, AZ 85299-0793
(480) 892-3180
(480) 892-1891
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
265
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1133950002
MEDICARE NSC
AZ
Enumeration date
07/13/2005
Last updated
12/09/2010
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