Individual
JOHN B COLLET JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1643 E MAIN ST, VENTURA, CA 93001-3307
(805) 648-4105
(805) 648-5177
Mailing address
1643 E MAIN ST, VENTURA, CA 93001-3307
(805) 648-4105
(805) 648-5177
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E2675
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E26750
—
CA
Enumeration date
01/27/2006
Last updated
12/09/2011
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