Individual
DR. JOHN ROBERT COLALUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
898 E MAIN ST, GREENWOOD, IN 46143-1407
(317) 887-1348
(317) 882-1631
Mailing address
PO BOX 85050, RICHMOND, VA 23285-5050
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
0102203803
VA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
020055262A
IN
207RA0401X
Addiction Medicine (Internal Medicine) Physician
021805
LA
Other
Enumeration date
03/26/2007
Last updated
04/24/2018
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