Individual
DR. COLBY W NIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-0111
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-0111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
292791
MA
207R00000X
Internal Medicine Physician
Primary
DO3911
ME
208M00000X
Hospitalist Physician
292791
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2019
Last updated
09/16/2024
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