Individual
MARK E COLBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1314 E 7TH ST STE 103, AUBURN, IN 46706-2533
(260) 927-1982
(260) 927-8380
Mailing address
3702 NEW VISION DR BLDG B, FORT WAYNE, IN 46845-1703
(260) 266-8207
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000170A
IN
Other
Enumeration date
08/22/2006
Last updated
01/31/2020
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