Individual
THOMAS M COON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2540 SISTER MARY COLUMBA DR, RED BLUFF, CA 96080
(530) 528-8899
(530) 528-8898
Mailing address
PO BOX 8640, RED BLUFF, CA 96080
(530) 528-8899
(530) 528-8898
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
35055561
OH
207X00000X
Orthopaedic Surgery Physician
Primary
G86235
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G862350
—
CA
01
—
DA8854
RAILROAD MEDICARE
CA
01
—
ZZZ07422Z
BLUE SHIELD
CA
Enumeration date
08/20/2006
Last updated
07/08/2007
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