Provider Demographics
NPI:1215066170
Name:COYE, ROBERT BERNARD (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:BERNARD
Last Name:COYE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6465 S YALE AVE STE 808
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-7810
Mailing Address - Country:US
Mailing Address - Phone:918-615-4015
Mailing Address - Fax:918-615-4105
Practice Address - Street 1:6465 S YALE AVE STE 808
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-7810
Practice Address - Country:US
Practice Address - Phone:918-615-4015
Practice Address - Fax:918-615-4105
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK28139207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR08020011000OtherQUALCHOICE
AR1395217OtherUNITED HEATLHCARE
AR254491OtherCIGNA
AR771064001OtherBREASTCARE
ARE-5102OtherAR STATE MEDICAL BOARD #
ARE-5102OtherAR STATE MEDICAL BOARD #
ARE-5102OtherAR STATE MEDICAL BOARD #
AR771064001OtherBREASTCARE
AR08020011000OtherQUALCHOICE