Individual
JOSHUA L COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 COTTONWOOD CT # D150, EAGLE, ID 83616-6576
(208) 917-2713
(208) 955-2029
Mailing address
100 COTTONWOOD CT # D150, EAGLE, ID 83616-6576
(208) 917-2713
(208) 955-2029
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
81381
ID
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA741
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982841573
—
ID
Enumeration date
01/19/2009
Last updated
01/09/2025
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