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General NPI Number Information
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NPI Number | 1740879196
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Entity Type | Organization
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Legal Business Name | COLLEY MEDICAL GROUP PLLC
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Dates
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Enumeration Date | 01/11/2021
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 8175 E EVANS RD # 13286
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-3606
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Country | US
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Telephone | 480-215-6819
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 39179
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City | PHOENIX
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State | AZ
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Zip | 85069-9179
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Country | US
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Telephone | 602-923-5000
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Fax |
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Authorized Official
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Title or Position | PHYSICIN/OWNER
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Name | JOEL COLLEY
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Credential | MD
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Telephone | 480-215-6819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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