MEDICARE: PHILIP COFF MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	MD00048558	WA
2	207RG0100X	Gastroenterology Physician	43602	CO

General Provider Information

NPI Number	:	1477550572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILIP COFF MD

Provider Business Mailing Address
First Line	:	PO BOX 421
Second Line	:
City	:	LIBERTY LAKE
State	:	WA
Zip	:	99019-0421
Country	:	US
Telephone Number	:	866-747-2455
Fax Number	:

Provider Business Practice Location Address
First Line	:	212 E CENTRAL AVE
Second Line	:	SUITE 440
City	:	SPOKANE
State	:	WA
Zip	:	99208-6291
Country	:	US
Telephone Number	:	509-489-2600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	04/16/2021

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Directions to “ PHILIP COFF MD” Practice Location

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