Individual provider · Type 1 NPI

Dwight Randolph Coleman Jr.

Student in an Organized Health Care Education/Training Program · Albuquerque, NM

NPI number 1275870206 Active

Practice location

2600 Marble Ave NE
Albuquerque, NM 87106-2058

Call (505) 272-2190 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1275870206

Dwight Randolph Coleman Jr.'s National Provider Identifier is 1275870206, issued on Jan 10, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Albuquerque, NM. The record was last updated on Jan 29, 2016.