NPI 1053579151

Jared Coffman, MD

Practitioner Interventional Pain Medicine Physician Fort Wayne, IN

Practice location

Address: 1721 Magnavox Way, Fort Wayne, IN 46804-1537
Phone: (260) 748-3650
Fax: (260) 569-2305

Registered specialties (2)

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence 01065791A (IN)

Other Pain Medicine providers in Indiana →

Anesthesiology Physician

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 01065791A (IN)

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Registry record

NPI: 1053579151
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 May 2008
Record last updated: 28 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.