THEODORE W COLWELL

CALDWELL, ID
NPI1598735391
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: ID  M-4462)
Additional Taxonomies207V00000X Obstetrics & Gynecology
(Licence: CA  D93712)
Enumeration Date2006-01-24
Last Update Date2022-01-06
Business Address
THEODORE W COLWELL MD
315 ELM STREET STE 310
CALDWELL, ID 83605
Phone number: 208-454-2035
Mailing Address
THEODORE W COLWELL MD
PO BOX 742941
ATLANTA, GA 30374-2941
Phone number: