Individual
EUGENIE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2510 ARROW ST, RAPID CITY, SD 57702-4306
(914) 320-0085
Mailing address
2510 ARROW ST, RAPID CITY, SD 57702-4306
(914) 320-0085
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/25/2020
Last updated
08/27/2020
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