BEGIN:VCARD VERSION:3.0 FN:Thomas Coughlin\, MD N:Coughlin;Thomas;;;MD TITLE:Emergency Medicine Physician TEL;TYPE=WORK,VOICE:+19134694244 URL:https://www.gale.care/providers/mo/independence/thomas-coughlin-md-1174 505580 NOTE:NPI 1174505580. From the NPPES registry (CMS)\, file of 2026-06-08. No t affiliated with Gale. X-NPI:1174505580 END:VCARD