NPI 1336133966

Paul Douglas Coffin, DPM

Practitioner Podiatrist Sioux City, IA

Practice location

Address: 3450 S Lakeport St Suite B, Sioux City, IA 51106-4509
Phone: (712) 255-5048
Fax: (712) 255-5263

Registered specialties (3)

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 362 (IA)

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Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 275 (NE)

Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 99 (SD)

Registry record

NPI: 1336133966
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Sep 2005
Record last updated: 19 Nov 2007

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.