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Individual

DR. DAVID R COLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
729 N CUSTER AVE, GRAND ISLAND, NE 68803-4311
(308) 382-9266
(308) 382-5290
Mailing address
729 N CUSTER AVE, P.O. BOX 2339, GRAND ISLAND, NE 68803-4311
(308) 382-9266
(308) 382-5290

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12657
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02669
BCBS NUMBER
NE
05
47059252300
NE
Enumeration date
07/13/2005
Last updated
01/25/2008
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