Provider Demographics
NPI:1437272705
Name:COFFING, BRYAN NEIL (MD)
Entity Type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:NEIL
Last Name:COFFING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3926 SIMMS CT
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-3875
Mailing Address - Country:US
Mailing Address - Phone:908-447-0785
Mailing Address - Fax:
Practice Address - Street 1:7444 W ALASKA DR STE 250
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-3328
Practice Address - Country:US
Practice Address - Phone:303-592-7284
Practice Address - Fax:303-892-0601
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301085982207ZP0102X
CO50216207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology