Individual
MR. ANDREW COLON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7210 W MAIN ST, BELLEVILLE, IL 62223-3038
(618) 398-8847
Mailing address
813 WILDWOOD LN, O FALLON, IL 62269-3135
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IL
Other
Enumeration date
12/20/2005
Last updated
07/08/2007
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