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Individual
ERIC RUSSELL COON
Active
Individual
ERIC RUSSELL COON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
8577079-1205
UT
208M00000X
Hospitalist Physician
Primary
8577079-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2010
Last updated
12/03/2021
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