Individual
DR. THOMAS C COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
214 S. 4TH STREET, KREMMLING, CO 80459-0399
(970) 887-5800
Mailing address
4795 LARIMER PARKWAY, JOHNSTOWN, CO 80534-9021
(970) 669-8881
(970) 669-4200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36057
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01360577
—
CO
Enumeration date
05/08/2006
Last updated
02/03/2020
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