Individual
COLLEEN COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
915 W FOOTHILL BLVD STE C, #125, CLAREMONT, CA 91711-3356
(909) 230-2178
Mailing address
915 W FOOTHILL BLVD STE C, #125, CLAREMONT, CA 91711-3356
(909) 230-2178
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G53014
CA
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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