Organization
DR JACKIE L MCCOLLUM, MD. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACKIE LYNNE MCCOLLUM MD (PRESIDENT)
(720) 535-6204
Entity
Organization
Contact information
Practice address
12101 E 2ND AVE, SUITE 105, AURORA, CO 80011-8327
(720) 535-6204
(720) 949-0540
Mailing address
12101 E 2ND AVE, SUITE 105, AURORA, CO 80011-8327
(720) 535-6204
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
28393
CO
Other
Enumeration date
12/17/2007
Last updated
06/10/2022
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