Bryant Coloma

NPI 1225392293 - Technician - 3747P1801X

NPI Details
NPI 1225392293
Gender Male
Enumeration Date 06/25/2012
Last Updated 06/25/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
2770 S MARYLAND PKWY STE 310
LAS VEGAS NV, 89109-1566, US
Phone (702) 240-3800
Fax (702) 240-3001
Business Location
6403 FROSTED DAWN CT
LAS VEGAS NV, 89141-8528, US
Phone (702) 207-1189
Fax
Toxanomy
Taxonomy Code 3747P1801X
License State
License Number
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According to our database, Bryant Coloma NPI is 1225392293, taxonomy code is 3747P1801X Bryant Coloma physically located at 2770 S Maryland Pkwy Ste 310, Las Vegas NV, 89109-1566. NPI Number Bryant Coloma has the Individual type.

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1225392293 NPI number is provided on an as is basis without warranty of any kind. 1225392293 is maintained by the National Plan & Provider Enumeration System. The contents of Bryant Coloma are for informational purposes only.