Individual
DR. JOHNATHAN LAWRENCE COLLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 5TH ST, SIOUX CITY, IA 51101-1326
(712) 279-2010
(712) 279-2034
Mailing address
PO BOX 2797, OMAHA, NE 68103-2797
(402) 354-4230
(402) 354-6171
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
24237
NE
207P00000X
Emergency Medicine Physician
Primary
MD-46631
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598788416
—
IA
05
—
470376604-12
—
NE
Enumeration date
07/25/2006
Last updated
11/11/2019
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