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Individual

PATRIZIA M. COLBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
801 GOODYEAR BLVD., PICAYUNE, MS 39466-3221
(504) 554-5455
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
19312
MS
207P00000X
Emergency Medicine Physician
MD.027130
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02828751
MS
Enumeration date
06/13/2006
Last updated
12/17/2020
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