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Individual
DR. GUSTAVO A COLMENARES
Active
Individual
DR. GUSTAVO A COLMENARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DR.0056015
CO
207Q00000X
Family Medicine Physician
2008-01450
NC
207Q00000X
Family Medicine Physician
31295
SC
207Q00000X
Family Medicine Physician
DR.0056015
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312959
—
SC
05
—
5910201
—
NC
Enumeration date
11/30/2005
Last updated
02/07/2023
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