Individual
DANIEL J COUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-1110
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
60955538
WA
207T00000X
Neurological Surgery Physician
Primary
MD60955538
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2142427
—
WA
Enumeration date
06/13/2011
Last updated
08/14/2024
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