Provider Demographics
NPI:1023084720
Name:SPEARS, COLIN PAUL (MD)
Entity type:Individual
Prefix:
First Name:COLIN
Middle Name:PAUL
Last Name:SPEARS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3415 AMERICAN RIVER DR STE C
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95864-5741
Mailing Address - Country:US
Mailing Address - Phone:916-692-8480
Mailing Address - Fax:916-692-8545
Practice Address - Street 1:3415 AMERICAN RIVER DR STE C
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95864-5741
Practice Address - Country:US
Practice Address - Phone:916-692-8480
Practice Address - Fax:916-692-8545
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-23
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG023022207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00GR0230220Medicare PIN
CAA90794Medicare UPIN