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Individual

PAUL COFOID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
350 PARK ST, BOWLING GREEN, KY 42101-1784
(270) 781-5111
(270) 780-0478
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 781-5111
(270) 780-0478

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
29495
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000044718
ANTHEM
KY
01
1120940
PASSPORT
KY
01
460000484
RAILROAD MEDICARE
KY
05
64294952
KY
Enumeration date
06/09/2005
Last updated
07/02/2014
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