person
Mara Beth Coyne, PA-C
Surgical Physician Assistant in Glendale, California
NPI 1902852155

Mara Beth Coyne is a Surgical Physician Assistant based in Valencia, CA and is specialized in Surgical. Mara Beth Coyne practices in Glendale, CA and has the professional credentials of PA-C. The NPI Number for Mara Beth Coyne is 1902852155 and holds a License No. PT-18312 (California).

The current practice location address for Mara Beth Coyne is 1505 Wilson Ter, Glendale, CA and can be reached out via phone at 818-246-8974 and via fax at 818-246-7673.

Location: 1505 Wilson Ter, Glendale, CA, 91354-2056
person
Provider Profile Details
NPI Number
1902852155
Provider Name
Mara Beth Coyne
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1505 Wilson Ter, Glendale, CA, 91354-2056
Phone Number
818-246-8974
Fax Number
818-246-7673
Provider Enumeration Date
05/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PT-18312 01 CA PHYSICIAN ASSISTANT
institution
Provider Business Practice Location Address Details
Address
1505 Wilson Ter
City
State
Zip
91206-4071
Phone Number
818-246-8974
Fax Number
818-246-7673
person
Provider Business Mailing Address Details
Address
1505 Wilson Ter
City
State
Zip
91206-4071
Phone Number
818-246-8974
Fax Number
818-246-7673
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PT-18312 (California)
Definition
Definition to come...
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