Individual
WILLIAM A COLLAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.C.
Contact information
Practice address
1211 N SHARTEL AVE STE 1006, OKLAHOMA CITY, OK 73103-2433
(405) 546-7699
(405) 546-7795
Mailing address
1211 N SHARTEL AVE STE 1006, OKLAHOMA CITY, OK 73103-2433
(405) 546-7699
(405) 546-7795
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
17633
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100256940A
—
OK
Enumeration date
07/20/2006
Last updated
01/27/2021
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