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Individual
PATRICK J COLLISON
Active
Individual
PATRICK J COLLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
21132
IA
207YX0901X
Otology & Neurotology Physician
3906
SD
Other
Enumeration date
08/02/2005
Last updated
02/06/2017
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