Organization
MICHAEL J COUGHLIN, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J COUGHLIN M.D. (PHYSICIAN)
(208) 377-1000
Entity
Organization
Contact information
Practice address
901 N CURTIS RD, SUITE 503, BOISE, ID 83706-1338
(208) 377-1000
(208) 377-1003
Mailing address
901 N CURTIS RD, SUITE 503, BOISE, ID 83706-1338
(208) 377-1000
(208) 377-1003
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
M3906
ID
Other
Enumeration date
12/28/2006
Last updated
08/22/2020
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