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Individual
DR. MARK O MCCOLLUM
Active
Individual
DR. MARK O MCCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA10025200
NJ
2086S0120X
Pediatric Surgery Physician
Primary
25MA10025200
NJ
2086S0120X
Pediatric Surgery Physician
35.081904
OH
Other
Enumeration date
09/14/2006
Last updated
04/15/2024
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