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Individual

ELIZABETH ALICE COLONNA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1830 EDGEHILL DR, SAN ANTONIO, TX 78209
(210) 670-9030
(210) 675-4072
Mailing address
1830 EDGEHILL DR, SAN ANTONIO, TX 78209-2020
(210) 670-9030
(210) 675-4072

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H0986
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
098326401
TX
05
P000F89D4
TX
Enumeration date
12/09/2005
Last updated
10/13/2020
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