Individual
MR. BRY HENRY COBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
833 SAINT VINCENTS DR, STE 207 POB 3, BIRMINGHAM, AL 35205-1606
(205) 933-1380
(205) 930-9222
Mailing address
833 SAINT VINCENTS DR, STE 207 POB 3, BIRMINGHAM, AL 35205-1606
(205) 933-1380
(205) 930-9222
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
5794
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831171024
—
AL
Enumeration date
11/15/2005
Last updated
05/06/2008
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