Individual
ANTHONY N COLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1640 G ST, SPRINGFIELD, OR 97477-4226
(541) 741-5103
Mailing address
249 S 35TH ST, SPRINGFIELD, OR 97478-6321
(609) 432-8697
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
202001719RN
OR
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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