Individual
JOSEPH T COULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4835 S DURANGO DR, LAS VEGAS, NV 89147
(705) 877-5199
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 877-5199
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1966
NV
Other
Enumeration date
05/15/2018
Last updated
02/20/2025
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