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NPI Code Detail

MEDICARE: DR. VICTOR FRANCISCO COLOSO M.D.

MEDICARE: DR. VICTOR FRANCISCO COLOSO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080N0001XNeonatal-Perinatal Medicine PhysicianC2070KY
2208000000XPediatrics PhysicianC2070KY
32080N0001XNeonatal-Perinatal Medicine Physician01089436AIN
4174400000XSpecialistME70769FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1C2070OTHERKYKY STATE LICENSE

General Provider Information

NPI Number : 1225090038
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VICTOR FRANCISCO COLOSO M.D.
Provider Business Mailing Address
First Line : PO BOX 11350
Second Line :
City : FORT SMITH
State : AR
Zip : 72917-1350
Country : US
Telephone Number : 479-314-4635
Fax Number : 479-314-4634
Provider Business Practice Location Address
First Line : 7301 ROGERS AVE
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-4100
Country : US
Telephone Number : 479-314-4635
Fax Number : 479-314-4634
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2006
Last Update Date : 03/03/2026

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