Organization
SUSANNAH L COLLIER MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANNAH L COLLIER MD (MANAGER)
(405) 751-0020
Entity
Organization
Contact information
Practice address
3705 W MEMORIAL RD, SUITE 101, OKLAHOMA CITY, OK 73134-1512
(405) 751-0020
(405) 751-0009
Mailing address
3705 W MEMORIAL RD, SUITE 101, OKLAHOMA CITY, OK 73134-1512
(405) 751-0020
(405) 751-0009
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
24822
OK
Other
Enumeration date
09/23/2008
Last updated
09/23/2008
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