Individual
DR. CHARLES BRIAN COFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 774-1693
(928) 774-3533
Mailing address
1600 W UNIVERSITY AVE STE 215, FLAGSTAFF, AZ 86001-3115
(928) 774-1693
(928) 774-3533
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
50345
AZ
2083A0100X
Aerospace Medicine Physician
A93163
CA
Other
Enumeration date
11/09/2005
Last updated
09/02/2015
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