Individual
MICHAEL COULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
41 MONTEBELLO RD STE 116, PUEBLO, CO 81001-1366
(719) 423-1500
Mailing address
41 MONTEBELLO RD STE 204, PUEBLO, CO 81001-1379
(719) 545-2746
(719) 545-4100
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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