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Mr. Bradley Philip Coughlin, PA-C
Medical Physician Assistant in Colorado Springs, Colorado
NPI 1053399451

Bradley Philip Coughlin is a Medical Physician Assistant based in Colorado Springs, CO and is specialized in Medical. Bradley Philip Coughlin practices in Colorado Springs, CO and has the professional credentials of PA-C. The NPI Number for Bradley Philip Coughlin is 1053399451 and holds a License No. 0110002173 (Colorado).

The current practice location address for Bradley Philip Coughlin is 2767 Janitell Rd, Colorado Springs, CO and can be reached out via phone at 719-365-2888. You can also correspond with Bradley Philip Coughlin through the mailing address at 1650 COCHRANE CIR BLDG 7505, COLORADO SPRINGS, CO - 80913-4613 (mailing address contact number: 719-526-2092).

Location: 2767 Janitell Rd, Colorado Springs, CO, 80913-4613
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Provider Profile Details
NPI Number
1053399451
Provider Name
Bradley Philip Coughlin
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2767 Janitell Rd, Colorado Springs, CO, 80913-4613
Phone Number
719-365-2888
Fax Number
Provider Enumeration Date
01/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
TN0141 01 VA JOHN DEERE HEALTH
010213355 05 VA
P00306338 01 VA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
2767 Janitell Rd
City
State
Zip
80906-4102
Phone Number
719-365-2888
Fax Number
person
Provider Business Mailing Address Details
Address
1650 Cochrane Cir Bldg 7505
City
State
Zip
80913-4613
Phone Number
719-526-2092
Fax Number
719-526-7732
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
2850 (Colorado)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
0110002173 (Virginia)
Definition
Definition to come...
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