Individual
DR. COLIN MATTHEW HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
331 SIJAN AVE, WHITEMAN AFB, MO 65305
(660) 687-4908
(660) 687-1148
Mailing address
331 SIJEN AVE, WHITEMAN AFB, MO 65305-1269
(660) 687-4908
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1053974709
IL
Other
Enumeration date
04/18/2019
Last updated
05/04/2023
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