Individual
CRAIG PAUL COLLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FACS
Contact information
Practice address
9715 MEDICAL CENTER DR STE 233, ROCKVILLE, MD 20850-6302
(301) 251-4128
(301) 738-1593
Mailing address
9715 MEDICAL CENTER DR STE 233, ROCKVILLE, MD 20850-6302
(301) 251-4128
(301) 738-1593
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D0054429
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263201200
—
MD
Enumeration date
08/09/2006
Last updated
08/28/2024
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