Individual
JEFFREY ALAN COLLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.D.
Contact information
Practice address
160 S BELLWOOD DR STE C, EAST ALTON, IL 62024-2086
(618) 258-1244
Mailing address
160 S BELLWOOD DR STE C, EAST ALTON, IL 62024-2086
(618) 258-1244
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
IL
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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