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Individual

DR. NATHAN LOUIS COLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
510 SUPERIOR AVE STE 200F, NEWPORT BEACH, CA 92663-3664
(949) 999-8979
(949) 999-8970
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-8200
(314) 454-5244

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
2023019454
MO
208800000X
Urology Physician
Primary
A203125
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200124635
MO
Enumeration date
04/17/2017
Last updated
08/05/2025
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