Edward Leslie Colloton MD

NPI 1023012614 - Ophthalmology - 207W00000X

NPI Details
NPI 1023012614
Gender Male
Enumeration Date 06/10/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1505 EASTLAND DR
STE 2200
BLOOMINGTON IL, 61701-7910, US
Phone (309) 662-7700
Fax (309) 662-0829
Business Location
1505 EASTLAND DR
STE 2200
BLOOMINGTON IL, 61701-7910, US
Phone (309) 662-7700
Fax (309) 662-0829
Toxanomy
Taxonomy Code 207W00000X
License State
License Number
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According to our database, Dr. Edward Leslie Colloton MD NPI is 1023012614, taxonomy code is 207W00000X Edward Leslie Colloton MD physically located at 1505 Eastland Dr, Bloomington IL, 61701-7910. NPI Number Edward Leslie Colloton MD has the Individual type.

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1023012614 NPI number is provided on an as is basis without warranty of any kind. 1023012614 is maintained by the National Plan & Provider Enumeration System. The contents of Edward Leslie Colloton MD are for informational purposes only.