person
Clifford Loren Coleman, MD
Specialist in Carbondale, Illinois
NPI 1053492710

Clifford Loren Coleman is a Specialist based in Carbondale, IL. Clifford Loren Coleman practices in Carbondale, IL and has the professional credentials of MD. The NPI Number for Clifford Loren Coleman is 1053492710 and holds a License No. 036060385 (Illinois).

The current practice location address for Clifford Loren Coleman is 1155 Cedar Ct, Carbondale, IL and can be reached out via phone at 618-549-3388 and via fax at 618-549-3380. You can also correspond with Clifford Loren Coleman through the mailing address at 1155 CEDAR CT, CARBONDALE, IL - 62901-5333 (mailing address contact number: 618-549-3388).

Location: 1155 Cedar Ct, Carbondale, IL, 62901-5333
person
Provider Profile Details
NPI Number
1053492710
Provider Name
Clifford Loren Coleman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1155 Cedar Ct, Carbondale, IL, 62901-5333
Phone Number
618-549-3388
Fax Number
618-549-3380
Provider Enumeration Date
10/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036060385 05 IL
institution
Provider Business Practice Location Address Details
Address
1155 Cedar Ct
City
State
Zip
62901-5333
Phone Number
618-549-3388
Fax Number
618-549-3380
person
Provider Business Mailing Address Details
Address
1155 Cedar Ct
City
State
Zip
62901-5333
Phone Number
618-549-3388
Fax Number
618-549-3380
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
036060385 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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