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Individual

DR. MATTHEW J COLEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
R7H62
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
202633301
MO
Enumeration date
01/23/2006
Last updated
05/13/2008
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