Provider Demographics
NPI:1649332404
Name:EHNOW, COLETTE K (MD)
Entity type:Individual
Prefix:DR
First Name:COLETTE
Middle Name:K
Last Name:EHNOW
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Gender:F
Credentials:MD
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Mailing Address - Street 1:34800 BOB WILSON DR
Mailing Address - Street 2:NMCSD
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92134-1098
Mailing Address - Country:US
Mailing Address - Phone:619-532-6702
Mailing Address - Fax:619-532-7272
Practice Address - Street 1:34800 BOB WILSON DR
Practice Address - Street 2:NMCSD
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92134-1098
Practice Address - Country:US
Practice Address - Phone:619-532-6702
Practice Address - Fax:619-532-7272
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2021-11-29
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Provider Licenses
StateLicense IDTaxonomies
CAA97794207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology