DR. Matthew Ross Coburn, D.C.

NPI #1174694301 in Tonawanda, New York

Provider Information

NPI Number: 1174694301
Entity Type: Individual
Name: DR. Matthew Ross Coburn, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Nov 10, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1914 COLVIN BLVD
City: Tonawanda
State: New York
ZIP Code: 14150-6973
Phone: (716) 835-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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