MICHAEL JACK COULTER

CAMP PENDLETON, CA
NPI1124477211
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Y00000X Otolaryngology
(Licence: CA  D7935901)
Additional Taxonomies207Y00000X Otolaryngology
(Licence: CA  A150427)
Enumeration Date2016-06-08
Last Update Date2022-08-23
Business Address
Dr. MICHAEL JACK COULTER M.D.
200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
Phone number: 760-725-6646
Mailing Address
Dr. MICHAEL JACK COULTER M.D.
PO BOX 555191
CAMP PENDLETON, CA 92055-5191
Phone number: 760-725-6646
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