Organization
WILLIAM A COLLAZO, M.D., F.A.C.C.
Active
Organization
WILLIAM A COLLAZO, M.D., F.A.C.C.
Active
Parent organization
WILLIAM A COLLAZO, M.D., F.A.C.C.
Other names
Cardiovascular Care of Oklahoma
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILLIAM A COLLAZO, M.D., F.A.C.C.
Authorized official
WILLIAM A COLLAZO M.D. (PRESIDENT/OWNER)
(405) 546-7699
Entity
Organization
Contact information
Practice address
1211 N SHARTEL AVE STE 1006, OKLAHOMA CITY, OK 73103-2433
(405) 546-7699
(405) 546-7795
Mailing address
1211 N SHARTEL AVE STE 1006, OKLAHOMA CITY, OK 73103-2433
(405) 546-7699
(405) 546-7795
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
17633
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100256940A
—
OK
Enumeration date
12/12/2007
Last updated
01/27/2021
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