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NPI Code Detail

MEDICARE: VERNON D. COFFMAN MD

MEDICARE: VERNON D. COFFMAN 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
1207L00000XAnesthesiology PhysicianL016590LA

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 : 1619948197
Entity Type Code : Individual
Provider Name (Legal Business Name) : VERNON D. COFFMAN MD
Provider Business Mailing Address
First Line : 2644 S SHERWOOD FOREST BLVD
Second Line : STE 121
City : BATON ROUGE
State : LA
Zip : 70816-2248
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 WOMANS WAY
Second Line :
City : BATON ROUGE
State : LA
Zip : 70817-5100
Country : US
Telephone Number : 225-293-2523
Fax Number : 225-293-1807
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2006
Last Update Date : 01/17/2019

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