Individual
JOSEPH B COATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4035 ELECTRIC RD, SUITE A, ROANOKE, VA 24018-8433
(540) 772-8670
(540) 772-7901
Mailing address
4035 ELECTRIC RD, SUITE A, ROANOKE, VA 24018-8433
(540) 772-8670
(540) 772-7901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101245898
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VV6737A
MEDICARE PTAN
VA
01
—
VV6737B
MEDICARE PTAN
VA
Enumeration date
05/24/2007
Last updated
07/21/2021
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