Organization
COLLIS, KIM & ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN S COLLIS JR. M.D. (PRESIDENT)
(440) 746-1055
Entity
Organization
Contact information
Practice address
1 EAGLE VALLEY CT, SUITE 101, BROADVIEW HTS, OH 44147-2982
(440) 746-1055
(440) 746-1052
Mailing address
PO BOX 94832, CLEVELAND, OH 44101-4832
(216) 464-5160
(216) 464-5982
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
OH
207T00000X
Neurological Surgery Physician
—
OH
Other
Enumeration date
08/04/2005
Last updated
07/21/2022
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