Individual
THOMAS R COUGHLIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1509 W TRUMAN RD, EMERGENCY DEPARTMENT, INDEPENDENCE, MO 64050-3436
(913) 469-4244
(913) 469-1939
Mailing address
PO BOX 838, SHAWNEE MISSION, KS 66201-0838
(913) 469-4244
(913) 469-1939
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2005020196
MO
Other
Enumeration date
11/19/2005
Last updated
07/08/2007
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