Provider Demographics
NPI:1083671309
Name:COLOMBO, JOHN L (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:L
Last Name:COLOMBO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:988102 NEBRASKA MEDICAL CTR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-8102
Mailing Address - Country:US
Mailing Address - Phone:402-559-6275
Mailing Address - Fax:402-559-7062
Practice Address - Street 1:988102 NEBRASKA MEDICAL CTR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-8102
Practice Address - Country:US
Practice Address - Phone:402-559-6275
Practice Address - Fax:402-559-7062
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2011-06-30
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Provider Licenses
StateLicense IDTaxonomies
NE130542080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE13054OtherNE LICENSE