Individual
COLLEEN O'MALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.A.
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67.000166
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3052226
—
OH
Enumeration date
05/27/2010
Last updated
07/16/2010
Update your record
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