MEDICARE: CATHERINE ANNE COYNE 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	208200000X	Plastic Surgery Physician	MD-49829	IA
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1275064172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE ANNE COYNE MD

Provider Business Mailing Address
First Line	:	PO BOX 424
Second Line	:
City	:	DES MOINES
State	:	IA
Zip	:	50302-0424
Country	:	US
Telephone Number	:	515-875-9255
Fax Number	:

Provider Business Practice Location Address
First Line	:	5950 UNIVERSITY AVE STE 120
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-8232
Country	:	US
Telephone Number	:	515-875-9744
Fax Number	:	515-875-9765

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

Provider Enumeration Date	:	03/22/2017
Last Update Date	:	01/19/2026

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