Individual
JOHN OWNE COLONNA II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 GRESHAM DR STE 8620, NORFOLK, VA 23507-1904
(757) 395-1600
(757) 625-0433
Mailing address
600 GRESHAM DR STE 8620, NORFOLK, VA 23507-1904
(757) 395-1600
(757) 625-0433
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
0101049364
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7313152
—
VA
01
—
770003097
MEDICARE RAILROAD
—
Enumeration date
02/01/2006
Last updated
12/09/2021
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