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Contact Information

JUSTIN COLARCO, DPM
4750 W OAKEY BLVD STE 1A
LAS VEGAS, NV89102-1535
 Phone: 702-877-8625
 Fax: 702-877-2692
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JUSTIN COLARCO · (Male)

NPI Number 1952531378
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/20/2009
Last updated 12/21/2018 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NV License # 0905
  • NV Medicaid 1952531378
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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