Individual
PAUL D COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
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
Update your record
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