Healthcare Provider Details

I. General information

NPI: 1033252259
Provider Name (Legal Business Name): JOHN P COLMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 11/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 POLLARD RD STE A2
LOS GATOS CA
95032-1432
US

IV. Provider business mailing address

800 POLLARD RD STE A2
LOS GATOS CA
95032-1432
US

V. Phone/Fax

Practice location:
  • Phone: 408-356-4959
  • Fax: 408-358-8692
Mailing address:
  • Phone: 408-356-4959
  • Fax: 408-358-8692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA25540
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: