Individual provider · Type 1 NPI

Matthew Ross Coburn, DC

Chiropractor · Tonawanda, NY

NPI number 1174694301 Active

Practice location

1914 Colvin Blvd
Tonawanda, NY 14150-6973

Fax (716) 832-4492

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XX007999-1 (NY)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1174694301

Matthew Ross Coburn, DC's National Provider Identifier is 1174694301, issued on Nov 10, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Tonawanda, NY. The record was last updated on Jul 8, 2007.