Provider Demographics
NPI:1508447491
Name:DANNY M COLTON, MD, INC.
Entity Type:Organization
Organization Name:DANNY M COLTON, MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:M
Authorized Official - Last Name:COLTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:422-327-9131
Mailing Address - Street 1:16333 GREEN TREE BLVD #1568
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395-3726
Mailing Address - Country:US
Mailing Address - Phone:442-327-9131
Mailing Address - Fax:442-327-9470
Practice Address - Street 1:15366 ELEVENTH ST STE Q
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-3726
Practice Address - Country:US
Practice Address - Phone:442-327-9131
Practice Address - Fax:442-327-9470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-21
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma SurgeryGroup - Multi-Specialty