Individual
DAVID A COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 E 3RD ST, DELTA, CO 81416-2815
(970) 874-2417
(970) 874-6491
Mailing address
PO BOX 10100, DELTA, CO 81416-0008
(970) 874-2470
(970) 874-2475
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17871
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01348416
—
CO
Enumeration date
07/20/2006
Last updated
07/30/2021
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