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Individual

DR. STEVEN E. COLLUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2961
(417) 820-7790
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
108035
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
208105502
MO
Enumeration date
08/01/2006
Last updated
10/20/2008
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