MEDICARE: MICHAEL COFFEY 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	207SG0201X	Clinical Genetics (M.D.) Physician	0	NV

General Provider Information

NPI Number	:	1720796436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL COFFEY MD

Provider Business Mailing Address
First Line	:	7828 MORGANITE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-4131
Country	:	US
Telephone Number	:	702-601-9514
Fax Number	:

Provider Business Practice Location Address
First Line	:	7828 MORGANITE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-4131
Country	:	US
Telephone Number	:	702-601-9514
Fax Number	:

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

Provider Enumeration Date	:	11/10/2022
Last Update Date	:	11/10/2022

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Directions to “ MICHAEL COFFEY MD” Practice Location

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