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Individual

MR. DAVID R COLEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3520 E 15TH ST, SUITE 200, LOVELAND, CO 80538-8938
(970) 669-0400
(970) 669-0400
Mailing address
3520 E 15TH ST, SUITE 200, LOVELAND, CO 80538-8938
(970) 669-0400
(970) 669-0400

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3439
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
22882561
CO
Enumeration date
09/26/2006
Last updated
06/03/2015
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