Doctor Name: | DR. CHUCK R COLAS |
NPI Number: | 1831204288 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 20A7380 |
Business Practice Address: | 325 Asip Road Orleans, CA - 955560249 |
Business Phone Number: | 5306273452 |
Business Fax Number: | 5306273452 |
Mailing Address: | Po Box 249, ORLEANS |
State: | CA |
Postal Code: | 955560249 |
Phone Number: | 5306273452 |
Fax Number: | 5306273445 |
NPI Enumeration Date: | 08/19/2006 |
NPI Last Update Date: | 07/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 20A7380 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |