NPI 1720370810 · live from the CMS NPI Registry
Michael Duane Colburn, MD
Pediatrics, Adolescent Medicine in Coralville, IA. National Provider Identifier 1720370810, active.
NPI record
| NPI | 1720370810 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Adolescent Medicine 2080A0000X |
| Practice location | 105 E 9th St, Coralville, IA 52241 |
| Practice phone | 319-467-2000 |
| Mailing address | 200 Hawkins Dr, Iowa City, IA 52242 |
| Enumerated | May 6, 2011 |
| Last updated | July 20, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics | 208000000X | MD-41919 (IA) |
| Pediatrics, Adolescent Medicine primary | 2080A0000X | MD-41919 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.