Individual
DR. TIMOTHY EDISON COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1263 LAKE PLAZA DR STE 230, COLORADO SPRINGS, CO 80906-3512
(719) 776-3300
(719) 776-3329
Mailing address
PO BOX 800022, KANSAS CITY, MO 64180-0022
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35. 074022
OH
207Q00000X
Family Medicine Physician
Primary
DR.0048752
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2126283
—
OH
05
—
32403861
—
CO
Enumeration date
01/27/2006
Last updated
12/22/2023
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