Individual
MR. FRED HUGHES COLEMAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 N 1ST ST STE 150, BOISE, ID 83702-6135
(208) 381-3088
(208) 381-4314
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
M-5746
ID
207VM0101X
Maternal & Fetal Medicine Physician
MD11018
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288226
—
OR
Enumeration date
02/17/2006
Last updated
03/20/2026
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