Individual
TIMOTHY D COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7111 S VIRGINIA ST, RENO, NV 89511-1115
(775) 851-5700
(775) 851-5710
Mailing address
7111 S VIRGINIA ST, RENO, NV 89511-1115
(775) 851-5700
(775) 851-5710
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4067
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2016701
—
NV
Enumeration date
10/05/2006
Last updated
07/08/2007
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