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NPI Code Detail

MEDICARE: TODD KOFFLER MD

MEDICARE:   TODD  KOFFLER  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
1208000000XPediatrics PhysicianMD60832406WA

General Provider Information

NPI Number : 1992704654
Entity Type Code : Individual
Provider Name (Legal Business Name) : TODD KOFFLER MD
Provider Business Mailing Address
First Line : 1145 BROADWAY
Second Line :
City : SEATTLE
State : WA
Zip : 98122-4201
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 904 7TH AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98104-1132
Country : US
Telephone Number : 206-292-2249
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2005
Last Update Date : 07/20/2020

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Directions to “ TODD KOFFLER MD” Practice Location

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