Organization
NICHOLAS COLYVAS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS COLYVAS MD (CEO)
(408) 364-1673
Entity
Organization
Contact information
Practice address
429 LLEWELLYN AVE, CAMPBELL, CA 95008-1948
(408) 364-1673
Mailing address
429 LLEWELLYN AVE, CAMPBELL, CA 95008-1948
(408) 364-1673
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
05/29/2012
Last updated
05/29/2012
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