Individual
DR. RICHARD A. COULON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 MEDICAL CENTER DR., SUITE G-500, HUNTINGTON, WV 25701-3656
(304) 691-1787
(304) 691-8711
Mailing address
1600 MEDICAL CENTER DR, SUITE G-500, HUNTINGTON, WV 25701-3656
(303) 691-1787
(304) 691-8711
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
23103
WV
207T00000X
Neurological Surgery Physician
MD.010050
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1142166
—
LA
05
—
2837130
—
OH
05
—
3810011593
—
WV
05
—
7100046240
—
KY
Enumeration date
05/03/2006
Last updated
04/19/2011
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