Provider Demographics
NPI:1255337093
Name:COLLEY, ARTHUR THOMPSON (MD)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:THOMPSON
Last Name:COLLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:116 PORTER DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05753-8501
Mailing Address - Country:US
Mailing Address - Phone:802-388-9885
Mailing Address - Fax:802-388-7120
Practice Address - Street 1:116 PORTER DR
Practice Address - Street 2:
Practice Address - City:MIDDLEBURY
Practice Address - State:VT
Practice Address - Zip Code:05753-8501
Practice Address - Country:US
Practice Address - Phone:802-388-9885
Practice Address - Fax:802-388-7120
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-27
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VT0420011538207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1017351Medicaid
D75975Medicare UPIN