Individual
MATTHEW DAVID COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6930 W CHARLESTON BLVD, LAS VEGAS, NV 89117-1602
(702) 304-6515
Mailing address
6930 W CHARLESTON BLVD, LAS VEGAS, NV 89117-1602
(702) 304-6515
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
12960
NV
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
12960
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010139163
—
VA
Enumeration date
07/28/2005
Last updated
12/04/2009
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