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Individual

DR. MAURICE E COFFEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6478
(540) 982-2463
Mailing address
1970 ROANOKE BLVD, SALEM, VA 24153-6478
(540) 982-2463

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35044777C
OH
207RP1001X
Pulmonary Disease Physician
Primary
35044777C
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0442051
OH
Enumeration date
07/24/2006
Last updated
03/27/2012
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