Individual
RICHARD DERRYL COLQUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 W CHARLESTON BLVD, STE 170, LAS VEGAS, NV 89102
(702) 877-8683
(702) 877-5249
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(702) 240-8847
(702) 240-8790
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2329
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2002076
—
NV
Enumeration date
03/01/2006
Last updated
02/05/2008
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