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NPI Code Detail

MEDICARE: NANCY COLBURN M.D.

MEDICARE: NANCY COLBURN 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
1207L00000XAnesthesiology PhysicianMD037869EPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962507558
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY COLBURN M.D.
Provider Business Mailing Address
First Line : 2653 BLACK OAK CT
Second Line :
City : WEXFORD
State : PA
Zip : 15090-7566
Country : US
Telephone Number : 724-934-0605
Fax Number :
Provider Business Practice Location Address
First Line : 2500 HOSPITAL DR
Second Line :
City : ALIQUIPPA
State : PA
Zip : 15001-2123
Country : US
Telephone Number : 724-857-1212
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2006
Last Update Date : 07/08/2007

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Directions to “ NANCY COLBURN M.D.” Practice Location

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