Individual
TERRENCE D COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3800 S NATIONAL AVE STE 510, SPRINGFIELD, MO 65807-5284
(417) 875-3411
Mailing address
PO BOX 9007, SPRINGFIELD, MO 65808-9007
(417) 875-3000
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
2000157000
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126889
BLUE CROSS/BLUE SHIELD
—
05
—
205086408
—
MO
Enumeration date
06/03/2006
Last updated
04/08/2026
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