Individual
MR. BRENT BAILEY COLGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
1213 N BELT HWY STE H, SAINT JOSEPH, MO 64506-2546
(816) 279-7778
(866) 245-8064
Mailing address
PO BOX 3497, STURTEVANT, WI 53177-0300
(888) 201-1040
(866) 245-8064
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
118244
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28075015
BCBS
MO
Enumeration date
02/20/2007
Last updated
06/24/2011
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