Brian Mark Colburn, PA-C
Physician Assistant in Gainesville, FL. Individual provider (NPI-1).
NPI number1265295331
StatusActive
Last updated in NPPESFeb 2, 2024
Details
- NPI
- 1265295331
- Entity type
- Individual (NPI-1)
- Name
- Mr. Brian Mark Colburn
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 1, 2024
- Certification date
- Feb 2, 2024
- Last updated
- Feb 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA9118189 | FL | Yes |
Practice location
1600 Sw Archer RdGainesville, FL 32610-7007
Phone 352-265-0535 · Fax 352-627-4173
Mailing address
Po Box 100108Gainesville, FL 32610-0108
Phone 352-265-0535 · Fax 352-627-4173
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