Dr. Modesto Jose Colon
Cardiothoracic Vascular Surgeon
3131 E Clarendon Ave Suite 102
Phoenix
, Arizona 85016-7069
Dr. Modesto Jose Colon
Cardiothoracic Vascular Surgeon
3131 E Clarendon Ave Suite 102
Phoenix
, Arizona 85016-7069
(602) 251-3126
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Modesto Jose Colon
- 3131 E Clarendon Ave Suite 102
- Phoenix, AZ
- Zip : 85016-7069
- Fax : (602) 251-3126
- Phone : (602) 253-9168
Second Address
- Dr. Modesto Jose Colon
- 3131 E Clarendon Ave Suite 102
- Phoenix, AZ
- Zip : 85016-7069
- Fax : (602) 251-3126
- Phone : (602) 253-9168
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 52510 | AZ |
National Provider Identifier
| NPI | 1083873574 |
|---|---|
| Provider Name | Dr. Modesto Jose Colon |
| First Address | Phoenix, AZ 85016-7069 |
| Second Address | Phoenix, AZ 85016-7069 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/06/2008 |
| Last Update Date | 25/07/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.