Search › Arizona › 1223G0001X
Richard Coburn, DMD
NPI 1699931691 · on the registry since 2008
Practice
- Address
- 80 Acoma Blvd
Lake Havasu City, AZ 86403 - Phone
- (406) 939-2093
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223G0001X
- Licence states on file
- AZ, MT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona