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NPI Code Detail

MEDICARE: DARCI COFFMAN D.O.

MEDICARE: DARCI COFFMAN 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
1207Q00000XFamily Medicine Physician3537OK
2204D00000XNeuromusculoskeletal Medicine & OMM Physician3537OK

General Provider Information

NPI Number : 1417933185
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARCI COFFMAN D.O.
Provider Business Mailing Address
First Line : 5310 E 31ST ST FL 13
Second Line :
City : TULSA
State : OK
Zip : 74135-5018
Country : US
Telephone Number : 918-561-5701
Fax Number : 918-561-1173
Provider Business Practice Location Address
First Line : 2345 SOUTHWEST BLVD
Second Line :
City : TULSA
State : OK
Zip : 74107-2705
Country : US
Telephone Number : 918-561-1131
Fax Number : 918-561-1140
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2005
Last Update Date : 02/01/2023

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