Individual
COLLYER EKHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
520 11TH ST NW, CEDAR RAPIDS, IA 52405-3811
(319) 398-3562
(319) 398-3501
Mailing address
PO BOX 17779, PHOENIX, AZ 85011-0779
(602) 374-7522
(602) 237-6997
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
18871
AZ
2084P0800X
Psychiatry Physician
Primary
24583
IA
2084P0800X
Psychiatry Physician
28026
CO
Other
Enumeration date
11/09/2006
Last updated
12/03/2016
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