Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | G6782 | CA |
NPI | 1013089580 |
---|---|
Provider Name | Dr. Alan Julian Coleman |
First Address | San Francisco, CA 94115-3441 |
Second Address | San Francisco, CA 94115-3441 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A57617 | (02) | CA |