Individual
MARLIN DWAYNE COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 W LEOTA ST, NORTH PLATTE, NE 69101-6525
(308) 696-8740
Mailing address
601 W LEOTA ST, PO BOX 9994, NORTH PLATTE, NE 69101-6525
(308) 696-8740
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
020978
GA
208800000X
Urology Physician
Primary
28437
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000183268B
—
GA
05
—
000183268C
—
GA
Enumeration date
12/09/2006
Last updated
03/27/2015
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