Provider Demographics
NPI:1508466244
Name:ADAM COLBERT MD, PLLC
Entity Type:Organization
Organization Name:ADAM COLBERT MD, PLLC
Other - Org Name:DESERT BREEZE MENTAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:GRANT
Authorized Official - Last Name:COLBERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-622-6772
Mailing Address - Street 1:1200 N EL DORADO PL STE D420
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85715-4637
Mailing Address - Country:US
Mailing Address - Phone:520-442-3422
Mailing Address - Fax:520-300-7388
Practice Address - Street 1:1200 N EL DORADO PL STE D420
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85715-4637
Practice Address - Country:US
Practice Address - Phone:281-622-6772
Practice Address - Fax:520-300-7388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-30
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty