Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | AL17412 | AL |
NPI | 1043457690 |
---|---|
Provider Name | Dr. Nona T Colburn |
First Address | Bethesda, MD 20814-5454 |
Second Address | Bethesda, MD 20814-5454 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2009 |
Last Update Date | 18/01/2009 |