| Doctor Name: | GERARD COULON |
| NPI Number: | 1073597225 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 04-19528 |
| Business Practice Address: | 6725 Sw 29th St Topeka, KS - 666145625 |
| Business Phone Number: | 7854781500 |
| Business Fax Number: | 7854781508 |
| Mailing Address: | 6725 Sw 29th St, TOPEKA |
| State: | KS |
| Postal Code: | 666145625 |
| Phone Number: | 7854781500 |
| Fax Number: | 7854781508 |
| NPI Enumeration Date: | 12/01/2005 |
| NPI Last Update Date: | 05/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 04-19528 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |