Individual
JAMIE COLLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 MEDICAL CENTER DR, BIDDEFORD, ME 04005
(207) 283-7000
Mailing address
3700 S MAIN ST, BLACKSBURG, VA 24060-7017
(540) 953-5453
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO2784
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2015
Last updated
07/18/2018
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