Individual
MICHAEL ANDREW COFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
61535 S HWY 97, STE 13, BEND, OR 97702
(541) 389-4774
(541) 389-3971
Mailing address
61535 S HWY 97, STE 13, BEND, OR 97702
(541) 389-4774
(541) 389-3971
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2508T
OR
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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