Organization
COLLIER MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN J COLLIER (OWNER)
(740) 574-1770
Entity
Organization
Contact information
Practice address
1661 STATE ROUTE 522 UNIT 2, WHEELERSBURG, OH 45694-8120
(740) 574-1770
(740) 574-8781
Mailing address
1661 STATE ROUTE 522 UNIT 2, WHEELERSBURG, OH 45694-8120
(740) 574-1770
(740) 574-8781
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164023677
NPI
OH
Enumeration date
11/03/2020
Last updated
11/17/2022
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