Individual
DR. JOHN STEPHEN COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
305 E JEFFERSON ST, BOISE, ID 83712-6231
(208) 381-7310
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
11018763A
IN
2080P0206X
Pediatric Gastroenterology Physician
11262373-1205
UT
2080P0206X
Pediatric Gastroenterology Physician
Primary
M-16895
ID
Other
Enumeration date
05/27/2016
Last updated
11/17/2022
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