# C NEAL MCCOLLUM DO PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619066305
- **Authorized official:** DR. C NEAL MCCOLLUM DO (OWNER)
- **Authorized official phone:** (405) 682-5367

## Contact information

- **Practice address:** 2236 SW 59TH STREET, OKLAHOMA CITY, OK 73119-7027
- **Practice address phone:** (405) 682-5367
- **Mailing address:** 2236 SW 59TH STREET, OKLAHOMA CITY, OK 73119-7027
- **Mailing address phone:** (405) 682-5367

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2178 | OK | Yes |

## Other

- **Enumeration date:** 10/12/2006
- **Last updated:** 08/22/2020