Individual
DR. COLLIN C JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DRIVE, MORGANTOWN, WV 26506
(304) 598-4000
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
(304) 285-7101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23670
WV
208000000X
Pediatrics Physician
Primary
23670
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810020651
—
WV
Enumeration date
06/27/2007
Last updated
04/13/2022
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