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Individual

EDWARD O COLEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
109 REGENCY PL, WEST MONROE, LA 71291-4453
(318) 812-9999
(318) 323-9339
Mailing address
130 DESIARD ST, SUITE 355, MONROE, LA 71201-7319
(318) 807-7875
(318) 812-6603

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
MD.06658R
LA
207Q00000X
Family Medicine Physician
Primary
DO306658R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1349321
LA
Enumeration date
03/17/2006
Last updated
04/10/2017
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