Individual
B ALLEN KOLODZIEJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 COMBS RD, PENNINGTON GAP, VA 24277-1808
(276) 546-1440
(865) 291-3228
Mailing address
1707 BUCCANEER DR, APT 312, JOHNSON CITY, TN 37604-7736
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101233338
VA
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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