Tiffany C Coughenour, PA
NPI #1205959756 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1205959756
- Entity Type
- Individual
- Name
- Tiffany C Coughenour, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Apr 9, 2007
- Last Updated
- Sep 13, 2016
Practice Location
- Address
- 3200 CHANNING WAY
- Address 2
- STE 205
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7546
- Phone
- (208) 535-4300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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