Individual
BRYAN COLLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
965 SHAMROCK LN, CORRY, PA 16407-9121
(814) 665-8288
(814) 664-8618
Mailing address
2256 LAKEVIEW DR, ERIE, PA 16506-6401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS019484
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1035428460001
—
PA
Enumeration date
06/23/2015
Last updated
12/05/2023
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