Individual
DR. HAROLD ANTHONY COFER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MAIN ST, NORTHFOLK, WV 24868
(304) 862-3052
(304) 862-2107
Mailing address
PO BOX 787, MAIN ST, NORTHFOLK, WV 24868
(304) 862-3052
(304) 862-2107
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12594
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0049708000
—
WV
01
—
1270733
UMWA CAREMARK
—
01
—
V002364
TRICARE
—
Enumeration date
10/04/2006
Last updated
07/08/2007
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