# COLEMAN MEDICAL CLINIC

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

## Provider details

- **NPI number:** 1548459472
- **Authorized official:** DAVID W COLEMAN D.O. (DOCTOR)
- **Authorized official phone:** (573) 747-0022

## Contact information

- **Practice address:** 1101 WEBER RD, SUITE 303, FARMINGTON, MO 63640-3326
- **Practice address phone:** (575) 747-0022
- **Practice address fax:** (573) 747-0055
- **Mailing address:** 1101 WEBER RD, SUITE 303, FARMINGTON, MO 63640-3326
- **Mailing address phone:** (575) 747-0022
- **Mailing address fax:** (573) 747-0055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2001027307 | MO | Yes |

## Other

- **Enumeration date:** 10/16/2007
- **Last updated:** 10/16/2007