Organization
MARVIN L COLVIN DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN L COLVIN D.O. (OWNER)
(928) 634-7470
Entity
Organization
Contact information
Practice address
753 N MAIN ST, STE A, COTTONWOOD, AZ 86326-3649
(928) 634-7470
(928) 639-3280
Mailing address
753 N MAIN ST, STE A, COTTONWOOD, AZ 86326-3649
(928) 634-7470
(928) 639-3280
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO2771
AZ
363L00000X
Nurse Practitioner
AP0586
AZ
363LF0000X
Family Nurse Practitioner
FNP361
AZ
Other
Enumeration date
11/27/2007
Last updated
02/27/2008
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