Individual
MR. JOSEPH P. COYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 9TH AVE, MS:M4-PFS, SEATTLE, WA 98101-2756
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA1004646
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8399214
—
WA
01
—
G8873749
VMMC MEDICARE NUMBER
WA
Enumeration date
10/13/2005
Last updated
03/05/2015
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