| NPI | 1821307976 |
|---|---|
| Doing Business As | CLIFFORD L. COLEMAN, M.D. |
| Entity Type | Organization |
| Authorized Contact | CLIFFORD LOREN COLEMAN President 618-549-3388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 036060385) |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2010-10-06 |