Individual
JUSTIN COLARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4750 W OAKEY BLVD STE 1A, LAS VEGAS, NV 89102-1535
(702) 877-8625
(702) 877-2692
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 877-5199
(702) 877-2692
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0905
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952531378
—
NV
Enumeration date
07/20/2009
Last updated
12/21/2018
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