MEDICARE: DR. STERLING WAYNE MCCOLGIN 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	207VM0101X	Maternal & Fetal Medicine Physician	29991	CO

General Provider Information

NPI Number	:	1760513204
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STERLING WAYNE MCCOLGIN M.D.

Provider Business Mailing Address
First Line	:	5510 JARMAN ST
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80906-7981
Country	:	US
Telephone Number	:	719-365-5960
Fax Number	:	719-365-8977

Provider Business Practice Location Address
First Line	:	5510 JARMAN ST
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80906-7981
Country	:	US
Telephone Number	:	719-365-5960
Fax Number	:	719-365-8977

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

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	06/27/2008

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