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NPI Code Detail

MEDICARE: DUSTIN COYLE MD

MEDICARE: DUSTIN COYLE 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
1207L00000XAnesthesiology PhysicianC168357CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194777235
Entity Type Code : Individual
Provider Name (Legal Business Name) : DUSTIN COYLE MD
Provider Business Mailing Address
First Line : 1487 EAGLE GLN
Second Line :
City : ESCONDIDO
State : CA
Zip : 92029-3139
Country : US
Telephone Number : 801-598-1779
Fax Number : 801-701-8848
Provider Business Practice Location Address
First Line : 36485 INLAND VALLEY DR
Second Line :
City : WILDOMAR
State : CA
Zip : 92595-9681
Country : US
Telephone Number : 951-677-1111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2006
Last Update Date : 01/17/2024

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