Individual
DAVID BRUCE COFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
281 UNDERPASS DRIVE, ONEIDA, TN 37841
(423) 569-5454
(423) 569-5902
Mailing address
PO BOX 4729, 281 UNDERPASS DRIVE, ONEIDA, TN 37841
(423) 569-5454
(423) 569-5902
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD0000009950
TN
208D00000X
General Practice Physician
Primary
MD0000009950
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3162697
—
TN
05
—
3708907
—
TN
Enumeration date
08/18/2006
Last updated
08/23/2016
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