Individual
ZACHARY COLWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 S UTICA AVE, TULSA, OK 74104-4012
(800) 939-7440
Mailing address
6580 JUDSON RD, LONGVIEW, TX 75605-7076
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
117530
OK
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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