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Organization

EDWARD L. COLBY D.O. INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDWARD LAWRENCE COLBY D.O. (PRESIDENT)
(740) 432-3434
Entity
Organization

Contact information

Practice address
61353 SOUTHGATE RD, SUITE#6, CAMBRIDGE, OH 43725-6607
(740) 432-3434
(740) 432-4035
Mailing address
61353 SOUTHGATE RD, SUITE#6, CAMBRIDGE, OH 43725-6607
(740) 432-3434
(740) 432-4035

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34004997
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000119977
COMMUNITY MUTUAL
OH
05
0879830
OH
05
2341344
OH
01
295500551002
MED MUTUAL LINDA
OH
01
298728719002
MED MUTUAL ED
OH
Enumeration date
03/26/2007
Last updated
08/22/2020
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