Individual
MR. THEODORE W COATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2031 ANDERSON RD, STE A, DAVIS, CA 95616-0621
(530) 757-3700
(530) 756-6907
Mailing address
2031 ANDERSON RD, STE A, DAVIS, CA 95616-0621
(530) 757-3700
(530) 756-6907
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA11101
CA
363AS0400X
Surgical Physician Assistant
Primary
PA11101
CA
Other
Enumeration date
07/19/2006
Last updated
02/12/2009
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