Individual
DR. J CHRISTOPHER COLCLASURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10201 KANIS RD, LITTLE ROCK, AR 72205-6203
(501) 227-5050
(501) 227-5151
Mailing address
10201 KANIS RD, LITTLE ROCK, AR 72205-6203
(501) 227-5050
(501) 227-5151
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
E4361
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00435120
RAILROAD MEDICARE
AR
Enumeration date
01/17/2006
Last updated
04/15/2008
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