Organization
WM COLANTONI JR MD PC
Active
Other names
William Colantoni Jr MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM COLANTONI JR. M.D. (PRESIDENT/DERMATOLOGIST)
(563) 386-3333
Entity
Organization
Contact information
Practice address
100 E KIMBERLY RD, SUITE 303, DAVENPORT, IA 52806-5924
(563) 386-3333
(563) 386-9209
Mailing address
100 E KIMBERLY RD, SUITE 303, DAVENPORT, IA 52806-5924
(563) 386-3333
(563) 386-9209
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
036-054040
IL
207N00000X
Dermatology Physician
12808
NE
207N00000X
Dermatology Physician
Primary
20388
IA
207N00000X
Dermatology Physician
G833882
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2131318
—
IA
Enumeration date
07/20/2005
Last updated
05/12/2008
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