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NPI Code Detail

MEDICARE: DR. MICHAEL C COAN D.O.

MEDICARE:  DR. MICHAEL C COAN  D.O.
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
1207RR0500XRheumatology PhysicianO0917ID
2207RR0500XRheumatology PhysicianOP60291975WA

General Provider Information

NPI Number : 1386955904
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL C COAN D.O.
Provider Business Mailing Address
First Line : 105 W 8TH AVE STE 6080
Second Line :
City : SPOKANE
State : WA
Zip : 99204-2313
Country : US
Telephone Number : 509-838-6500
Fax Number : 509-838-6561
Provider Business Practice Location Address
First Line : 105 W 8TH AVE STE 6080
Second Line :
City : SPOKANE
State : WA
Zip : 99204-2313
Country : US
Telephone Number : 509-838-6500
Fax Number : 509-838-6561
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2010
Last Update Date : 03/25/2020

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Directions to “ DR. MICHAEL C COAN D.O.” Practice Location

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