Organization
N P COLLER HOLDING
Active
Other names
Everett Stunz
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP J COLLER (OWNER)
(858) 459-3305
Entity
Organization
Contact information
Practice address
7616 GIRARD AVE, LA JOLLA, CA 92037-4420
(858) 459-3305
(858) 459-0855
Mailing address
1040 GENTER ST, 103, LA JOLLA, CA 92037-5546
(858) 459-3305
(858) 459-0855
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
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