Provider Demographics
NPI:1952410979
Name:COYLE, JAMES J (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:J
Last Name:COYLE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:226 S WOODS MILL RD
Mailing Address - Street 2:SUITE#35W
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-3662
Mailing Address - Country:US
Mailing Address - Phone:314-548-6860
Mailing Address - Fax:314-548-6866
Practice Address - Street 1:226 S WOODS MILL RD
Practice Address - Street 2:SUITE#35W
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-3662
Practice Address - Country:US
Practice Address - Phone:314-548-6860
Practice Address - Fax:314-548-6866
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2019-12-10
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Provider Licenses
StateLicense IDTaxonomies
MO117979207XS0117X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOF45707Medicare UPIN