Individual
ANDREA K COLLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
305 SUNRISE CENTER DR, ZANESVILLE, OH 43701-4663
(740) 816-7346
Mailing address
PO BOX 2582, ZANESVILLE, OH 43702-2582
(740) 562-6868
(740) 205-8661
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35082635
OH
2080S0010X
Pediatric Sports Medicine Physician
35-082635
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2430284
—
OH
Enumeration date
11/10/2006
Last updated
09/12/2021
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