Individual
MR. COLLIN PATRICK MAGILLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
425 N NEW BALLAS RD STE 230, SAINT LOUIS, MO 63141-6848
(314) 266-2066
(314) 266-2066
Mailing address
425 N NEW BALLAS RD STE 230, SAINT LOUIS, MO 63141-6848
(314) 266-2066
(314) 266-2069
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019022744
MO
Other
Enumeration date
07/09/2019
Last updated
09/13/2023
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