Individual
DR. COLBY C UPTEGRAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH, MBI
Contact information
Practice address
JOINT BASE ANACOSTIA-BOLLING CLINIC, 238 BROOKLEY AVE SW, BLDG #1300, JOINT BASE ANACOSTIA-BOLLING, DC 20032
(202) 404-5512
Mailing address
7700 ARLINGTON BLVD, FALLS CHURCH, VA 22042-2929
(202) 527-9636
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
274072
MA
2083C0008X
Clinical Informatics Physician
Primary
274072
MA
2083P0901X
Public Health & General Preventive Medicine Physician
274072
MA
Other
Enumeration date
06/13/2013
Last updated
04/10/2023
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