Timothy John Mccollum PA-C

NPI 1992984025 - Physician Assistant - 363AS0400X

NPI Details
NPI 1992984025
Gender Male
Enumeration Date 10/25/2007
Last Updated 07/23/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
12213 PECOS ST
SUITE 700
WESTMINSTER CO, 80234-3412, US
Phone (303) 451-5698
Fax (303) 450-1326
Business Location
9739 FALLEN ROCK RD
CONIFER CO, 80433-4015, US
Phone (303) 358-5130
Fax
Toxanomy
Taxonomy Code 363AS0400X
License State Colorado
License Number 1684
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According to our database, Timothy John Mccollum PA-C NPI is 1992984025, taxonomy code is 363AS0400X and license number is 1684, license state is located at Colorado. Timothy John Mccollum PA-C physically located at 12213 Pecos St, Westminster CO, 80234-3412. NPI Number Timothy John Mccollum PA-C has the Individual type.

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1992984025 NPI number is provided on an as is basis without warranty of any kind. 1992984025 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy John Mccollum PA-C are for informational purposes only.