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Individual

LAUGHLIN B. MCCOLLESTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1100 BALSAM AVE, BOULDER, CO 80304-3404
(303) 440-2037
(303) 306-7753
Mailing address
PO BOX 173894, DENVER, CO 80217-3894
(303) 306-7783
(303) 306-7753

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
44405
CO
207P00000X
Emergency Medicine Physician
Primary
DR.0044405
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
88323269
CO
01
P00644053
RAILROAD MEDICARE PIN
CO
Enumeration date
06/04/2006
Last updated
12/21/2015
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