Individual
DAVID JOSEPH COLANGIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2273
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2273
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
51204
SC
208600000X
Surgery Physician
LL51204
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LL51204
STATE LIMITED LICENSE
SC
Enumeration date
07/02/2017
Last updated
07/19/2023
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