Individual
BRIAN COLBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
329 W 40TH ST, SCOTTSBLUFF, NE 69361-4634
(308) 635-3911
Mailing address
130037 GOOSE LORE RD, SCOTTSBLUFF, NE 69361-7215
(308) 672-3125
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1502
NE
Other
Enumeration date
06/28/2019
Last updated
05/11/2021
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