Organization
VICTOR B COATES DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR BRIAN COATES DPM (PRESIDENT)
(703) 398-9512
Entity
Organization
Contact information
Practice address
8709 PROFESSIONAL PL STE A, MANASSAS, VA 20110-4424
(703) 398-9512
Mailing address
8709 PROFESSIONAL PL STE A, MANASSAS, VA 20110-4424
(703) 398-9512
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103000741
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009321021
—
VA
01
—
116980
ANTHEM
VA
Enumeration date
12/12/2006
Last updated
05/17/2008
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