Individual
DAVID FORREST COLVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1160 JOHNSON AVE, SUITE 105, BRIDGEPORT, WV 26330
(304) 842-9084
(304) 842-9085
Mailing address
1160 JOHNSON AVE, SUITE 105, BRIDGEPORT, WV 26330
(304) 842-9084
(304) 842-9085
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
10442
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0115368000
—
WV
Enumeration date
07/11/2006
Last updated
07/08/2007
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