Individual
G R COLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
503 S BROADWAY ST, HUGHES, AR 72348-9701
(870) 339-3500
(870) 339-3501
Mailing address
503 S BROADWAY ST, HUGHES, AR 72348-9701
(870) 339-3500
(870) 339-3501
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
C4020
AR
Other
Enumeration date
08/30/2006
Last updated
05/16/2014
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