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Organization
COLONFUSION, LLC
Active
Organization
COLONFUSION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN BLOSSER MD (OWNER/PROVIDER)
(571) 407-5636
Entity
Organization
Contact information
Practice address
11440 COMMERCE PARK DR STE LL4, RESTON, VA 20191-1544
(571) 407-5636
Mailing address
11440 COMMERCE PARK DR STE LL4, RESTON, VA 20191-1544
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
02/16/2022
Last updated
02/18/2022
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