SAM J COATES

PROVO, UT
NPI1053338483
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: UT  1871101205)
Enumeration Date2006-07-15
Last Update Date2008-03-18
Business Address
-- SAM J COATES MD
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-357-4542
Mailing Address
-- SAM J COATES MD
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-357-4542