Individual
DAVID JUSTON COLVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
802 E COUNTY HIGHWAY B, SHELL LAKE, WI 54871-4425
(337) 991-9276
Mailing address
PO BOX 5687, SHREVEPORT, LA 71135-5687
(318) 797-6661
(318) 795-8512
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036167418
IL
207Q00000X
Family Medicine Physician
35.152204
OH
207Q00000X
Family Medicine Physician
84338-20
WI
207Q00000X
Family Medicine Physician
E-18377
AR
207Q00000X
Family Medicine Physician
Primary
L022840
LA
207Q00000X
Family Medicine Physician
MD-50271
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080189709
RR MCR
—
05
—
1494101
—
LA
Enumeration date
08/12/2005
Last updated
03/04/2026
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