Individual
JESSICA COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MADIGAN ARMY HOSPITAL 9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-1110
Mailing address
MADIGAN ARMY HOSPITAL 9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-1110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101263479
VA
Other
Enumeration date
06/21/2016
Last updated
08/13/2019
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