Individual
F COLEMAN FUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
949 WESTMINSTER DR, WILLIAMSPORT, PA 17701-3909
(570) 326-8261
(570) 322-6558
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD013806E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001079838
—
PA
Enumeration date
08/09/2005
Last updated
11/01/2010
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