Individual
DR. EDWARD LAWRENCE COLBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
61353 SOUTHGATE RD, SUITE#6, CAMBRIDGE, OH 43725-6607
(740) 432-3434
(740) 432-3053
Mailing address
61353 SOUTHGATE RD, SUITE#6, CAMBRIDGE, OH 43725-6607
(740) 432-3434
(740) 432-3053
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34004997
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000119977
ANTHEM COMMUNITY MUTUAL
OH
05
—
0879830
—
OH
01
—
C04997
HEALTH PLAN UPPER OHIO VA
OH
Enumeration date
10/13/2005
Last updated
11/20/2009
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