Individual
DR. JOHN RALPH COLLIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
415 W MAIN ST, GREENFIELD, IN 46140-2056
(317) 679-1009
(317) 826-1370
Mailing address
8268 RED SAIL CT, INDIANAPOLIS, IN 46236-9574
(317) 679-1009
(317) 826-1370
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01044478A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200072520B
—
IN
Enumeration date
08/30/2006
Last updated
08/30/2013
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