Individual
DONALD L NICOLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2021 N 12TH ST, GRAND JUNCTION, CO 81501-2980
(970) 257-6200
Mailing address
PO BOX 1687, GRAND JUNCTION, CO 81502-1687
(970) 257-6200
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
17884
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17884
COLORADO STATE LICENSE
CO
Enumeration date
08/03/2009
Last updated
08/03/2009
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