Tiffany C Coughenour in Idaho Falls - Physician Assistant

Tiffany C Coughenour - NPI 1205959756

Tiffany C Coughenour is a Physician Assistant in Idaho Falls, Idaho. Tiffany C Coughenour practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Tiffany C Coughenour is 1205959756. The last update date is 2016-09-13.

Tiffany C Coughenour's current location address is 2985 Cortez Ave, Idaho Falls, Idaho. You can contact this provider via phone number 2085354300 and fax number 2085354315. The mailing address for Tiffany C Coughenour is 2985 Cortez Ave, Idaho Falls, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Tiffany C Coughenour
Address 2985 Cortez Ave, Idaho Falls, Idaho
Phone Number 2085354300
Fax Number 2085354315
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1205959756
Provider Enumeration Date 2007-04-09
Last Updated Date 2016-09-13

Provider Mailing Address Detail

Address 2985 Cortez Ave
City Idaho Falls
State Idaho (ID)
Post Code 834047554
Phone Number 2085354300
Fax Number 2085354315

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA244
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
805523500 ID --

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FAQs about Tiffany C Coughenour

What is the unique 10-digit identification code assigned to Tiffany C Coughenour by the Centers for Medicare & Medicaid Services?

The Tiffany C Coughenour has been issued the NPI (National Provider Identifier) 1205959756, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Tiffany C Coughenour is geographically located?

The Tiffany C Coughenour is physically situated at the following location: 2985 Cortez Ave, Idaho Falls, ID, 834047554.

What is Tiffany C Coughenour's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Tiffany C Coughenour is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.

When did the Tiffany C Coughenour receive its 1205959756?

The Tiffany C Coughenour was issued its 1205959756 on 2007-04-09, which is the date when the organization was assigned this unique identifier.

When was the Tiffany C Coughenour's information last updated?

The Tiffany C Coughenour's information was last updated on 2016-09-13.

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