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NPI Code Detail

MEDICARE: MARK E COGGINS M.D.

MEDICARE: MARK E COGGINS 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
1207XS0117XOrthopaedic Surgery of the Spine Physician0101251922VA
2207X00000XOrthopaedic Surgery Physician0101251922VA

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 : 1538157359
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK E COGGINS M.D.
Provider Business Mailing Address
First Line : 213 S JEFFERSON ST STE 625
Second Line :
City : ROANOKE
State : VA
Zip : 24011-1713
Country : US
Telephone Number : 540-224-5516
Fax Number : 540-224-5684
Provider Business Practice Location Address
First Line : 2331 FRANKLIN RD SW
Second Line :
City : ROANOKE
State : VA
Zip : 24014-1111
Country : US
Telephone Number : 540-510-6200
Fax Number : 540-857-5306
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2005
Last Update Date : 12/14/2020

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