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NPI Code Detail

MEDICARE: DR. RYAN BRETT COLEMAN M.D.

MEDICARE:  DR. RYAN BRETT COLEMAN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianC-8240AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508890690
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RYAN BRETT COLEMAN M.D.
Provider Business Mailing Address
First Line : PO BOX 11880
Second Line :
City : FORT SMITH
State : AR
Zip : 72917-1880
Country : US
Telephone Number : 479-452-1581
Fax Number : 479-452-2148
Provider Business Practice Location Address
First Line : 1115 S WALDRON RD
Second Line : SUITE 107
City : FORT SMITH
State : AR
Zip : 72903-2551
Country : US
Telephone Number : 497-452-1581
Fax Number : 479-452-2148
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2006
Last Update Date : 09/10/2013

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Directions to “ DR. RYAN BRETT COLEMAN M.D.” Practice Location

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