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Individual
DR. JOHN COOPER GOLLIER
Active
Individual
DR. JOHN COOPER GOLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-28601
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058541
BLUE CROSS BLUE SHIELD KS
KS
01
—
26325027
BC/BS KANSAS CITY
KS
01
—
2924584001
CIGNA INDIVIDUAL NUMBER
KS
01
—
335891
HEALTHWAVE
KS
01
—
5818702
AETNA INDIVIDUAL NUMBER
KS
Enumeration date
07/06/2006
Last updated
07/09/2007
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