Individual
RICHARD BRIAN COLLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
510 CHERRY ST, SUITE 205, BLUEFIELD, WV 24701-3338
(304) 324-2954
(304) 324-2955
Mailing address
510 CHERRY ST, SUITE 205, BLUEFIELD, WV 24701-3338
(304) 324-2954
(304) 324-2955
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
DO1630
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101252000
—
WV
Enumeration date
08/23/2006
Last updated
09/14/2010
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