Individual
DR. MARK R. COAKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
2510 5TH ST BLDG 840, WRIGHT PATTERSON AFB, OH 45433-7951
(937) 938-2744
Mailing address
2510 5TH ST BLDG 840, WRIGHT PATTERSON AFB, OH 45433-7951
(937) 938-2744
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
ME 66350
FL
2083X0100X
Occupational Medicine Physician
ME 66350
FL
Other
Enumeration date
09/12/2005
Last updated
04/16/2019
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