Jake Thomas Coffman

NPI #1487112678 in Fulton, Missouri

Provider Information

NPI Number: 1487112678
Entity Type: Individual
Name: Jake Thomas Coffman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 6, 2019
Last Updated: Mar 6, 2019

Practice Location

Address: 3846 SARATOGA CT
City: Fulton
State: Missouri
ZIP Code: 65251-3066
Phone: (573) 673-4157

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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