Michael J Mccollum M.D.

NPI 1003891060 - Radiology - 2085R0202X

NPI Details
NPI 1003891060
Gender Male
Enumeration Date 12/13/2005
Last Updated 04/13/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1008 MINNEQUA AVE
PUEBLO CO, 81004-3733, US
Phone (719) 542-7891
Fax
Business Location
124 W PITKIN AVE
PUEBLO CO, 81004-2021, US
Phone (719) 542-7891
Fax
Toxanomy
Taxonomy Code 2085R0202X
License State Colorado
License Number 42869
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According to our database, Dr. Michael J Mccollum M.D. NPI is 1003891060, taxonomy code is 2085R0202X and license number is 42869, license state is located at Colorado. Michael J Mccollum M.D. physically located at 1008 Minnequa Ave, Pueblo CO, 81004-3733. NPI Number Michael J Mccollum M.D. has the Individual type.

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1003891060 NPI number is provided on an as is basis without warranty of any kind. 1003891060 is maintained by the National Plan & Provider Enumeration System. The contents of Michael J Mccollum M.D. are for informational purposes only.