# MARVIN L COLVIN DO

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

## Provider details

- **NPI number:** 1659553139
- **Authorized official:** MARVIN L COLVIN D.O. (OWNER)
- **Authorized official phone:** (928) 634-7470

## Contact information

- **Practice address:** 753 N MAIN ST, STE A, COTTONWOOD, AZ 86326-3649
- **Practice address phone:** (928) 634-7470
- **Practice address fax:** (928) 639-3280
- **Mailing address:** 753 N MAIN ST, STE A, COTTONWOOD, AZ 86326-3649
- **Mailing address phone:** (928) 634-7470
- **Mailing address fax:** (928) 639-3280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | DO2771 | AZ | Yes |
| 363L00000X | Nurse Practitioner | AP0586 | AZ | — |
| 363LF0000X | Family Nurse Practitioner | FNP361 | AZ | — |

## Other

- **Enumeration date:** 11/27/2007
- **Last updated:** 02/27/2008