MR. MARK COLSTON, A.T.C.,
Specialist
Active
Individual
NPI: 1265585517
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist | 174400000X | Yes | 36000941A (IN) |
Frequently Asked Questions
NPI 1265585517 is the National Provider Identifier for MR. MARK COLSTON, A.T.C.,, a Specialist provider located in Peoria, IL. This NPI was enumerated on January 19, 2007.
MR. MARK COLSTON, A.T.C., practices at 1501 W BRADLEY AVE, Peoria, IL 61625.
Quick Facts
- NPI
- 1265585517
- Type
- Individual
- Enumerated
- Jan 19, 2007
- Last Updated
- Feb 21, 2024
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