Individual
DR. MARTHA E COLGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
P.O. BOX 589, FORT DEFIANCE INDIAN HOSPITAL BOARD, INC., FORT DEFIANCE, AZ 86504-0649
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101056496
VA
208000000X
Pediatrics Physician
Primary
MD441483
PA
Other
Enumeration date
12/13/2005
Last updated
10/07/2014
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