DR. David D Coultas, M.D.
NPI #1902804495 in Jacksonville, Illinois
Provider Information
- NPI Number
- 1902804495
- Entity Type
- Individual
- Name
- DR. David D Coultas, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Internal Medicine
- Credential
- M.D.
- Enumeration Date
- Jul 8, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1606 W LAFAYETTE AVE
- City
- Jacksonville
- State
- Illinois
- ZIP Code
- 62650-3707
- Phone
- (217) 245-1421
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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