Individual
JAMES R COLGAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
412 W JOHN ST, #1B, CARSON CITY, NV 89703-8811
(775) 883-1030
(775) 883-4677
Mailing address
412 W JOHN ST, #1B, CARSON CITY, NV 89703-8811
(775) 883-1030
(775) 883-4677
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2579
NV
208800000X
Urology Physician
GFE15465
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC9683
ANTHEM BCBS NEVADA
NV
Enumeration date
03/05/2007
Last updated
07/09/2007
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