Individual
DR. COLLEEN L JAY
Active
Individual
DR. COLLEEN L JAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
Q2307
TX
208600000X
Surgery Physician
036120467
IL
208600000X
Surgery Physician
55659
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344007501
—
TX
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
Enumeration date
05/09/2008
Last updated
05/13/2015
Update your record
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