Individual provider · NPI-1

Melissa Colson

Student in an Organized Health Care Education/Training Program · Tempe, AZ

NPI number1780015628
StatusActive
Last updated in NPPESDec 3, 2013

Details

NPI
1780015628
Entity type
Individual (NPI-1)
Name
Melissa Colson
Sex
Female
Sole proprietor
No
Enumeration date
Dec 3, 2013
Last updated
Dec 3, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

5801 S Mcclintock Dr
Ste 110
Tempe, AZ 85283-6002

Phone 480-777-5988

Mailing address

5801 S Mcclintock Dr
Ste 110
Tempe, AZ 85283-6002

Phone 480-777-5988

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