# MICHAEL J COUGHLIN, MD, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508922303
- **Authorized official:** DR. MICHAEL J COUGHLIN M.D. (PHYSICIAN)
- **Authorized official phone:** (208) 377-1000

## Contact information

- **Practice address:** 901 N CURTIS RD, SUITE 503, BOISE, ID 83706-1338
- **Practice address phone:** (208) 377-1000
- **Practice address fax:** (208) 377-1003
- **Mailing address:** 901 N CURTIS RD, SUITE 503, BOISE, ID 83706-1338
- **Mailing address phone:** (208) 377-1000
- **Mailing address fax:** (208) 377-1003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | M3906 | ID | Yes |

## Other

- **Enumeration date:** 12/28/2006
- **Last updated:** 08/22/2020