Individual
MRS. VANESSA R COLQUHOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3000 FAIRWAY DR, ALTOONA, PA 16602-4472
(814) 942-1166
(814) 942-6222
Mailing address
3000 FAIRWAY DR, ALTOONA, PA 16602-4472
(814) 942-1166
(814) 942-6222
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA055964
PA
Other
Enumeration date
03/20/2013
Last updated
07/22/2013
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