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Individual

DR. WILLIAM RICHARD COLLIE IV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
17724 INTERSTATE 30, STE 2, BENTON, AR 72019-2907
(501) 920-7901
(501) 325-3469
Mailing address
1201 MILITARY RD, STE 2 PMB 269, BENTON, AR 72015-2908
(501) 920-7901
(501) 325-3469

Taxonomy

Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
R-2220
AR

Other

Enumeration date
02/15/2008
Last updated
04/07/2009
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