Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | D009778 | AZ |
Y | 213EG0000X | General Practice | D009778 | AZ |
NPI | 1003275363 |
---|---|
Provider Name | Dr. Colin Don |
First Address | Tucson, AZ 85718-6319 |
Second Address | Tucson, AZ 85712-6701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2016 |
Last Update Date | 27/06/2017 |