Provider Demographics
NPI:1346508967
Name:COATS, HAROLD BARD (MD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:BARD
Last Name:COATS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:770 E WARM SPRINGS RD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-4333
Mailing Address - Country:US
Mailing Address - Phone:702-738-3480
Mailing Address - Fax:702-243-3882
Practice Address - Street 1:770 E WARM SPRINGS RD
Practice Address - Street 2:SUITE 240
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-4333
Practice Address - Country:US
Practice Address - Phone:702-738-3480
Practice Address - Fax:702-243-3882
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-02
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV8866207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG36293OtherMEDICAL LICENSE
NV8866OtherMEDICAL LICENSE