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NPI Code Detail

MEDICARE: JOANNE COEN M.D.

MEDICARE: JOANNE COEN 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
1207L00000XAnesthesiology PhysicianG85575CA

General Provider Information

NPI Number : 1962454975
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNE COEN M.D.
Provider Business Mailing Address
First Line : PO BOX 34120
Second Line :
City : RENO
State : NV
Zip : 89533-4120
Country : US
Telephone Number : 775-747-5050
Fax Number : 775-747-5005
Provider Business Practice Location Address
First Line : 1100 MARSHALL WAY
Second Line :
City : PLACERVILLE
State : CA
Zip : 95667-6533
Country : US
Telephone Number : 530-622-1441
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2006
Last Update Date : 07/08/2007

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