Individual
DR. MICHAEL D COLEMAN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6801 ROGERS AVE, FORT SMITH, AR 72903-4067
(479) 274-4300
(479) 274-4399
Mailing address
PO BOX 3528, FORT SMITH, AR 72913-3528
(479) 274-2000
(479) 274-2194
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
C-4997
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105565001
—
AR
01
—
390006102
RR MEDICARE
—
Enumeration date
07/03/2006
Last updated
08/28/2015
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