# CLINICAL COLLEAGUES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366958274
- **Authorized official:** KURT ZUMWALT (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (800) 494-3948

## Contact information

- **Practice address:** 200 MEDICAL PARK BLVD, PETERSBURG, VA 23805-9274
- **Practice address phone:** (804) 765-5000
- **Mailing address:** PO BOX 824246, PHILADELPHIA, PA 19182-4246
- **Mailing address phone:** (954) 570-0337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/15/2017
- **Last updated:** 09/25/2026