Individual
DR. MODESTO JOSE COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3131 E CLARENDON AVE, SUITE 102, PHOENIX, AZ 85016-7069
(602) 253-9168
(602) 251-3126
Mailing address
3131 E CLARENDON AVE, SUITE 102, PHOENIX, AZ 85016-7069
(602) 253-9168
(602) 251-3126
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
52510
AZ
Other
Enumeration date
06/09/2008
Last updated
07/25/2016
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