Provider Demographics
NPI:1053433425
Name:COLUMBUS, WILLIAM FRANCES (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:FRANCES
Last Name:COLUMBUS
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 1:3880 RIDGE ROAD TRAILWOOD
Mailing Address - Street 2:
Mailing Address - City:WILKES - BARRE
Mailing Address - State:PA
Mailing Address - Zip Code:18702
Mailing Address - Country:US
Mailing Address - Phone:570-472-3688
Mailing Address - Fax:
Practice Address - Street 1:344 WILKES BARRE TOWNSHIP BLVD.
Practice Address - Street 2:
Practice Address - City:WILKES - BARRE
Practice Address - State:PA
Practice Address - Zip Code:18702
Practice Address - Country:US
Practice Address - Phone:570-824-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-072154-L174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist