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Contact Information

ROY BORS KOEFOED, MD
6266 POPLAR AVE
MEMPHIS, TN38119-4713
 Phone: 901-682-2595
 Fax: 901-682-2549
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for ROY BORS KOEFOED · (Male)

NPI Number 1871505438
Status Active
Credentials MD
Entity Individual
Enumeration date 08/12/2006
Last updated 12/12/2011 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 35990
  • AR Medicaid 156721001
  • MS Medicaid 00125606
  • TN Medicaid 3871735
  • AR Other 99201 BCBS AR
  • TN Other 4451436 AETNA HMO
  • TN Other 4067158 BCBST
  • TN Other 4315297 CIGNA
  • TN Other 154425331 TRICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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