NPI 1104596873 · live from the CMS NPI Registry
Ann Coates
Physician Assistant in Dickinson, ND. National Provider Identifier 1104596873, active.
NPI record
| NPI | 1104596873 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 1531 W Villard St, Dickinson, ND 58601 |
| Practice phone | 701-225-7575 |
| Mailing address | Po Box 5074, Sioux Falls, SD 57117 |
| Enumerated | September 15, 2021 |
| Last updated | May 26, 2022 |
| Sole proprietor | No |
| Other names | Ann Koppinger |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | PAC0904 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.