Individual
STEVEN G COLWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO BOCO LPO
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
00000160
WA
1744P3200X
Prosthetics Case Management
Primary
00000161
WA
Other
Enumeration date
05/09/2013
Last updated
05/09/2013
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