| NPI | 1346708708 |
|---|---|
| Doing Business As | MICHAEL COLONNA |
| Entity Type | Organization |
| Authorized Contact | MICHAEL COLONNA Owner 928-897-5365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-12-12 |