Organization
COLONNA PHYSICIAN SERVICES LLC
Active
Other names
Michael Colonna
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL COLONNA DO (OWNER)
(928) 897-5365
Entity
Organization
Contact information
Practice address
4030 N STOCKTON HILL RD STE 3, KINGMAN, AZ 86409-2452
(928) 897-5365
(928) 443-8941
Mailing address
4030 N STOCKTON HILL RD STE 3, KINGMAN, AZ 86409-2452
(928) 897-5365
(928) 443-8941
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
12/12/2019
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