Individual
DR. VICENTE M COLON-ALCARAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7210 W MAIN ST, BELLEVILLE, IL 62223-3038
(618) 394-0712
(618) 394-1346
Mailing address
7210 W MAIN ST, BELLEVILLE, IL 62223-3038
(618) 394-0712
(618) 394-1346
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036084767
IL
207V00000X
Obstetrics & Gynecology Physician
105451
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036084767
—
IL
Enumeration date
09/06/2006
Last updated
11/01/2011
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