Individual
MS. CHERYL COLEGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
332 CONGRESS PARK DR, DAYTON, OH 45459-4133
(800) 726-3627
Mailing address
332 CONGRESS PARK DR, DAYTON, OH 45459-4133
(800) 726-3627
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50000763
OH
363AS0400X
Surgical Physician Assistant
50-000763
OH
Other
Enumeration date
05/02/2007
Last updated
08/27/2015
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