Clifford Loren Coleman M.D.

NPI 1053492710 - Specialist - 174400000X

NPI Details
NPI 1053492710
Gender Male
Enumeration Date 10/18/2006
Last Updated 10/01/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
1155 CEDAR CT
CARBONDALE IL, 62901-5333, US
Phone (618) 549-3388
Fax (618) 549-3380
Business Location
1155 CEDAR CT
CARBONDALE IL, 62901-5333, US
Phone (618) 549-3388
Fax (618) 549-3380
Toxanomy
Taxonomy Code 174400000X
License State Illinois
License Number 036060385
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According to our database, Clifford Loren Coleman M.D. NPI is 1053492710, taxonomy code is 174400000X and license number is 036060385, license state is located at Illinois. Clifford Loren Coleman M.D. physically located at 1155 Cedar Ct, Carbondale IL, 62901-5333. NPI Number Clifford Loren Coleman M.D. has the Individual type.

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1053492710 NPI number is provided on an as is basis without warranty of any kind. 1053492710 is maintained by the National Plan & Provider Enumeration System. The contents of Clifford Loren Coleman M.D. are for informational purposes only.