Individual
DWIGHT D COLLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6013 NW 32ND WAY, BOCA RATON, FL 33496-3364
(561) 305-8163
Mailing address
6013 NW 32ND WAY, BOCA RATON, FL 33496-3364
(561) 305-8163
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-122526
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-122526
LICENSE NUMBER
IL
Enumeration date
02/11/2009
Last updated
07/12/2012
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