MEDICARE: DR. ARTHUR DAVID COLMAN 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
1	2084P0800X	Psychiatry Physician	G9988	CA

General Provider Information

NPI Number	:	1073876033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARTHUR DAVID COLMAN M.D.

Provider Business Mailing Address
First Line	:	412 NAPA ST
Second Line	:
City	:	SAUSALITO
State	:	CA
Zip	:	94965-1938
Country	:	US
Telephone Number	:	415-332-5627
Fax Number	:

Provider Business Practice Location Address
First Line	:	2003 BRIDGEWAY
Second Line	:
City	:	SAUSALITO
State	:	CA
Zip	:	94965-1736
Country	:	US
Telephone Number	:	415-332-5627
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2012
Last Update Date	:	06/24/2012

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