David Joseph Colangione, MD | |
4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | |
(702) 653-2273 | |
Not Available |
Full Name | David Joseph Colangione |
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Gender | Male |
Speciality | Surgery |
Location | 4700 Las Vegas Blvd N, Nellis Afb, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669993408 | NPI | - | NPPES |
LL51204 | Other | SC | STATE LIMITED LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | LL51204 (South Carolina) | Secondary |
208600000X | Surgery | 51204 (South Carolina) | Primary |
Entity Name | Self Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982836847 PECOS PAC ID: 6002953916 Enrollment ID: O20091027000071 |
Mailing Address | Practice Location Address |
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David Joseph Colangione, MD 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-2273 | David Joseph Colangione, MD 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-2273 |
Mr. Kyle A Mecham, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
William Pinette, MD Surgery Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Dr. Kevin Dunn, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2791 | |
Dr. Travis Atkinson Arnold-lloyd, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 Fax: 314-362-5743 | |
Danielle M Dombrowski, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Dr. Cara Grace Pozolo, MD Surgery Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Keith A Berry, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 |