Individual
MILTON BIRD MCCOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
455 OCONNOR DR STE 200, SAN JOSE, CA 95128-1632
(408) 283-7676
Mailing address
4751 N 15TH ST, PHOENIX, AZ 85014-3707
(602) 277-7526
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
62712
AZ
208D00000X
General Practice Physician
Primary
GFE68043
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62712
FAMILY MEDICINE
AZ
01
—
G68043
CA PHYSICIAN AND SURGEON LICENSE
CA
Enumeration date
02/08/2014
Last updated
04/30/2021
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