Individual
AUSTIN COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 W FORT STREET, BVAMC WELLNESS CENTER B.116, BOISE, ID 83702
(208) 422-1165
Mailing address
500 W FORT STREET, BVAMC WELLNESS CENTER B.116, BOISE, ID 83702
(208) 422-1165
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MRO-2352
ID
Other
Enumeration date
01/13/2022
Last updated
07/22/2024
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