Provider Demographics
NPI:1942640503
Name:COULTER, ALLISON ANNE (MD)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:ANNE
Last Name:COULTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:130 SUTTER ST FL 2
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-4009
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1501 M ST NW STE 450
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-1726
Practice Address - Country:US
Practice Address - Phone:202-204-7092
Practice Address - Fax:202-660-0025
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-27
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0116025749207Q00000X
DCMD044419207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine