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Organization

DAVID R COLEMAN OD LLC

Active
Other names
Coleman Vision Improvement Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID R COLEMAN TO2322 (OWNER)
(417) 782-3488
Entity
Organization

Contact information

Practice address
1030 SE MURPHY BLVD, JOPLIN, MO 64801-5043
(417) 782-3488
(417) 782-8150
Mailing address
1030 SE MURPHY BLVD, JOPLIN, MO 64801-5043
(417) 782-3488
(417) 782-8150

Taxonomy

Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
TO2322
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100090450B
KS
05
311427801
MO
Enumeration date
07/29/2009
Last updated
02/03/2011
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