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Individual
DR. DOUGLAS COLSON
Active
Individual
DR. DOUGLAS COLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
223913
MA
207Y00000X
Otolaryngology Physician
Primary
R7968
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007059420
MEDICARE #
RI
05
—
1790767
—
RI
05
—
2102803
—
MA
01
—
679507
TX MEDICARE
TX
Enumeration date
11/20/2005
Last updated
06/15/2023
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