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Individual

PATRICK J COLLISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2201
(319) 356-4547
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2201
(319) 356-4547

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
21132
IA
207YX0901X
Otology & Neurotology Physician
3906
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6520060
SD
Enumeration date
08/02/2005
Last updated
02/06/2017
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