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NPI Code Detail

MEDICARE: DR. TOM PATRICK COKER M.D.

MEDICARE: DR. TOM PATRICK COKER M.D.
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
1207X00000XOrthopaedic Surgery PhysicianC6584AR

General Provider Information

NPI Number : 1245203736
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TOM PATRICK COKER M.D.
Provider Business Mailing Address
First Line : PO BOX 1608
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72702-1608
Country : US
Telephone Number : 479-521-2752
Fax Number : 479-444-6942
Provider Business Practice Location Address
First Line : 3317 N WIMBERLY DR
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72703-4056
Country : US
Telephone Number : 479-521-2752
Fax Number : 479-444-6942
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2006
Last Update Date : 11/29/2007

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