Basic Information
| Provider Information | |||||||||
| NPI: | 1174957062 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | COLTON | ||||||||
| FirstName: | ADAM | ||||||||
| MiddleName: | JACOB | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3449 E REZANOF DR | ||||||||
| Address2: | |||||||||
| City: | KODIAK | ||||||||
| State: | AK | ||||||||
| PostalCode: | 996156952 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9074869870 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 5575 DTC PKWY STE 225 | ||||||||
| Address2: | |||||||||
| City: | GREENWOOD VILLAGE | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801113073 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3033901967 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/27/2013 | ||||||||
| LastUpdateDate: | 08/23/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/23/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 114195 | AK | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 13595C | WY | N | Allopathic & Osteopathic Physicians | Family Medicine | 208M00000X | A13623 | CA | N | Allopathic & Osteopathic Physicians | Hospitalist | 207Q00000X | DR.0066396 | CO | N | Allopathic & Osteopathic Physicians | Family Medicine | 208M00000X | DR.0066396 | CO | N | Allopathic & Osteopathic Physicians | Hospitalist | 208M00000X | 13288C | WY | N | Allopathic & Osteopathic Physicians | Hospitalist | 207Q00000X | A13623 | CA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.