Organization
CLINICAL COLLEAGUES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KURT ZUMWALT (AUTHORIZED OFFICIAL)
(800) 494-3948
Entity
Organization
Contact information
Practice address
200 MEDICAL PARK BLVD, PETERSBURG, VA 23805-9274
(804) 765-5000
Mailing address
PO BOX 824246, PHILADELPHIA, PA 19182-4246
(954) 570-0337
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
12/15/2017
Last updated
09/23/2021
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