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WM COLANTONI JR MD PC NPI 1942209077


NPI Information

NPI: 1942209077
Provider Name: WM COLANTONI JR MD PC

Former Legal Business Name: WILLIAM COLANTONI JR MD PC

Classification: Dermatology - 207N00000X
Entity Type: Organization
Address:
100 E KIMBERLY RD
SUITE 303
DAVENPORT, IA
ZIP 52806
Phone: (563) 386-3333
Get Directions

WM COLANTONI JR MD PC is a dermatology in Davenport, IA. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. WM COLANTONI JR MD PC NPI is 1942209077. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is William Colantoni Jr Md Pc.

The provider's business location address is:

100 E KIMBERLY RD
SUITE 303
DAVENPORT, IA
ZIP 52806-924
Phone: (563) 386-3333
Fax: (563) 386-9209

The provider's authorized official is William Colantoni .
The authorized official title is President/dermatologist and has the following contact phone number (563) 386-3333.

The enumeration date for this NPI number is 7/20/2005 and was last updated on 5/12/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatology036-054040ILLINOISNo
2207N00000XDermatology12808NEBRASKANo
3207N00000XDermatologyG833882CALIFORNIANo
4207N00000XDermatology20388IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B18012MEDICARE UPIN
22131318MEDICAIDIOWA
319046MEDICARE PINIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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