Individual
PAUL D COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
800 E 21ST ST, SIOUX FALLS, SD 57105-1016
(605) 322-2754
(605) 322-2727
Mailing address
800 E 21ST ST, PAT FINANCIAL SERVICES, SIOUX FALLS, SD 57105-1016
(605) 322-2754
(605) 322-2727
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R015109
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0065155
SD BC PROVIDER #
SD
01
—
050K9CO
MN BC PROVIDER #
MN
05
—
0965814
—
IA
05
—
434043400
—
MN
01
—
460224743-57105-AE65
TRICARE PROVIDER #
SD
05
—
46022474348
—
NE
05
—
5753710
—
SD
01
—
9219909
DAKOTACARE
SC
Enumeration date
07/30/2006
Last updated
08/20/2010
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