Organization
DANIEL W. COLLISON MD PLLC
Active
Organization
DANIEL W. COLLISON MD PLLC
Active
Other names
RiverRun Medical Offices
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL WOLFE COLLISON M.D. (MANAGER)
(603) 643-7733
Entity
Organization
Contact information
Practice address
63 S MAIN ST, LOWER LEVEL, HANOVER, NH 03755-2072
(603) 643-7733
(603) 643-7703
Mailing address
63 S MAIN ST, LOWER LEVEL, HANOVER, NH 03755-2072
(603) 643-7733
(603) 643-7703
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012208
—
VT
Enumeration date
02/11/2006
Last updated
02/01/2011
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