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Organization
COLONNA PHYSICIAN SERVICES LLC
Active
Organization
COLONNA PHYSICIAN SERVICES LLC
Active
Other names
Michael Colonna
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL COLONNA DO (OWNER)
(928) 897-5365
Entity
Organization
Contact information
Practice address
4030 N STOCKTON HILL RD STE 3, KINGMAN, AZ 86409-2452
(928) 897-5365
(928) 443-8941
Mailing address
4030 N STOCKTON HILL RD STE 3, KINGMAN, AZ 86409-2452
(928) 897-5365
(928) 443-8941
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
12/12/2019
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