Individual
DR. COLLEEN M DEBARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
5172 LEAVITT RD, LORAIN, OH 44035
(440) 282-7420
(440) 282-9855
Mailing address
5334 MEADOW LANE COURT, SHEFFIELD VILLAGE, OH 44035-1469
(440) 934-5454
(440) 934-8979
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36.003563
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
000629
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000493314A
—
GA
Enumeration date
11/30/2005
Last updated
07/31/2012
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