Individual provider · NPI-1

Austin R.T. Colohan, M.D.

Neurological Surgery · Loma Linda, CA

NPI number1366486227
StatusActive
Last updated in NPPESJul 14, 2008

Details

NPI
1366486227
Entity type
Individual (NPI-1)
Name
Austin R.T. Colohan
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 15, 2006
Last updated
Jul 14, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207T00000X Neurological SurgeryG85008CAYes

Practice location

25455 Barton Rd
Suite 108a
Loma Linda, CA 92354-3128

Phone 909-558-6388

Mailing address

File Number 54701
Los Angeles, CA 90074-0001

Phone 909-558-3111

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