Individual
DR. EDWARD ALLEN COLLACOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
500 HIGHWAY 89 NORTH, PRESCOTT, AZ 86313
(928) 717-7437
Mailing address
2881 HORIZON HILLS DR, PRESCOTT, AZ 86305-7110
(928) 776-6496
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
12425
AZ
Other
Enumeration date
07/06/2006
Last updated
09/06/2023
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