Individual
GREGORY PAUL COLBATH
Active
Individual
GREGORY PAUL COLBATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
29863
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298635
—
SC
01
—
SC16696067
MEDICARE PIN
SC
Enumeration date
06/29/2007
Last updated
04/11/2023
Update your record
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