person
David Jon Colliflower, PA-C
Surgical Physician Assistant in Newport Beach, California
NPI 1891900346

David Jon Colliflower is a Surgical Physician Assistant based in Newport Beach, CA and is specialized in Surgical. David Jon Colliflower practices in Newport Beach, CA and has the professional credentials of PA-C. The NPI Number for David Jon Colliflower is 1891900346 and holds a License No. 15993 (California).

The current practice location address for David Jon Colliflower is 22 Corporate Plaza Dr, Newport Beach, CA and can be reached out via phone at 949-722-7038 and via fax at 949-630-4900.

Location: 22 Corporate Plaza Dr, Newport Beach, CA, 92660-7985
person
Provider Profile Details
NPI Number
1891900346
Provider Name
David Jon Colliflower
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
22 Corporate Plaza Dr, Newport Beach, CA, 92660-7985
Phone Number
949-722-7038
Fax Number
949-630-4900
Provider Enumeration Date
05/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1891900346 05 WA
P01743785 01 WA RR MEDICARE WVH
institution
Provider Business Practice Location Address Details
Address
22 Corporate Plaza Dr
City
State
Zip
92660-7985
Phone Number
949-722-7038
Fax Number
949-630-4900
person
Provider Business Mailing Address Details
Address
22 Corporate Plaza Dr
City
State
Zip
92660-7985
Phone Number
949-722-7038
Fax Number
949-630-4900
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
15993 (California)
Definition
Definition to come...
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