person
Coleman Douglas, PA
Medical Physician Assistant in Springfield, Missouri
NPI 1518551365

Coleman Douglas is a Medical Physician Assistant based in Springfield, MO and is specialized in Medical. Coleman Douglas practices in Springfield, MO and has the professional credentials of PA. The NPI Number for Coleman Douglas is 1518551365 and holds a License No. 2021006397 (Missouri).

The current practice location address for Coleman Douglas is 3801 S National Ave, Springfield, MO and can be reached out via phone at 417-269-4983.

Location: 3801 S National Ave, Springfield, MO, 65808-9007
person
Provider Profile Details
NPI Number
1518551365
Provider Name
Coleman Douglas
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
3801 S National Ave, Springfield, MO, 65808-9007
Phone Number
417-269-4983
Fax Number
Provider Enumeration Date
02/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3801 S National Ave
City
State
Zip
65807-5210
Phone Number
417-269-4983
Fax Number
person
Provider Business Mailing Address Details
Address
3801 S National Ave
City
State
Zip
65807-5210
Phone Number
417-269-4983
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
2021006397 (Missouri)
Definition
Definition to come...
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