Provider Demographics
NPI:1689001646
Name:TOLMAN, COLBY ESTELLE (PA-C)
Entity type:Individual
Prefix:MISS
First Name:COLBY
Middle Name:ESTELLE
Last Name:TOLMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:425 IDAHO STREET
Mailing Address - Street 2:
Mailing Address - City:GOODING
Mailing Address - State:ID
Mailing Address - Zip Code:83330
Mailing Address - Country:US
Mailing Address - Phone:208-934-5900
Mailing Address - Fax:208-934-5719
Practice Address - Street 1:425 IDAHO STREET
Practice Address - Street 2:
Practice Address - City:GOODING
Practice Address - State:ID
Practice Address - Zip Code:83330
Practice Address - Country:US
Practice Address - Phone:208-934-5900
Practice Address - Fax:208-934-5719
Is Sole Proprietor?:No
Enumeration Date:2013-10-04
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant