Individual
JON COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 W KINGSHIGHWAY, PARAGOULD, AR 72450-5942
(870) 424-7070
(870) 424-6616
Mailing address
PO BOX 1179, MOUNTAIN HOME, AR 72654-1179
(870) 424-7070
(870) 424-6616
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C4699
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102521001
—
AR
05
—
201522208
—
MO
Enumeration date
05/11/2006
Last updated
09/13/2010
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