Individual
COLIN PATRICK SULPIZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
590 MITCHELL BLVD BLDG 375, LAUGHLIN AFB, TX 78843-5242
(830) 298-6538
Mailing address
590 MITCHELL BLVD BLDG 375, LAUGHLIN AFB, TX 78843-5242
(215) 779-4529
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS021836
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Enumeration date
03/30/2020
Last updated
11/20/2023
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