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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