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Individual

COLBY AUSTIN

Active
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Individual

COLBY AUSTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD183530
OR
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
M-12969
ID

Other

Enumeration date
04/20/2012
Last updated
09/25/2017
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