Vegas Coleman is a Psychiatry in Poplar Bluff, Missouri. Vegas Coleman practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Vegas Coleman is 1629247267. The last update date is 2014-02-27.
Vegas Coleman's current location address is 1500 N Westwood Blvd, Poplar Bluff, Missouri. You can contact this provider via phone number 5737784771 and fax number 5737784156. The mailing address for Vegas Coleman is 1500 N Westwood Blvd, Poplar Bluff, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vegas Coleman |
|---|---|
| Address | 1500 N Westwood Blvd, Poplar Bluff, Missouri |
| Phone Number | 5737784771 |
| Fax Number | 5737784156 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1629247267 |
|---|---|
| Provider Enumeration Date | 2008-02-28 |
| Last Updated Date | 2014-02-27 |
Provider Mailing Address Detail
| Address | 1500 N Westwood Blvd |
|---|---|
| City | Poplar Bluff |
| State | Missouri (MO) |
| Post Code | 639013318 |
| Phone Number | 5737784771 |
| Fax Number | 5737784156 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 2010022727 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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What is the unique 10-digit identification code issued to Vegas Coleman by the Centers for Medicare & Medicaid Services?
The Vegas Coleman has been assigned the NPI (National Provider Identifier) 1629247267 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Vegas Coleman's facilities are geographically located?
The facilities of Vegas Coleman are physically situated at the following location: 1500 N Westwood Blvd, Poplar Bluff, MO, 639013318.
What is Vegas Coleman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Vegas Coleman is Psychiatry, and the taxonomy classification code that categorizes this area of expertise is 2084P0800X.
When did Vegas Coleman receive its 1629247267 assignment?
The Vegas Coleman was assigned its 1629247267 on 2008-02-28, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Vegas Coleman most recently updated or revised?
The details related to Vegas Coleman, including its address, specialty, and other relevant information, were last updated or revised on 2014-02-27.
NPI Number: 1720081763
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