Individual
DAVID JON COLLIFLOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
5300 TRABUCO RD APT 636, IRVINE, CA 92620-5799
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
15993
CA
363AS0400X
Surgical Physician Assistant
PA60693871
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891900346
—
WA
01
—
P01743785
RR MEDICARE WVH
WA
Enumeration date
05/10/2007
Last updated
03/13/2026
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