Organization
THE PHOBIA CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE A COLLARES MD (PRESIDENT OWNER)
(937) 435-0998
Entity
Organization
Contact information
Practice address
2179 MIAMISBURG CENTERVILLE RD, CENTERVILLE, OH 45459-3814
(937) 435-0998
(937) 435-7322
Mailing address
2179 MIAMISBURG CENTERVILLE RD, CENTERVILLE, OH 45459-3814
(937) 435-0998
(937) 435-7322
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35046922
OH
2084P0800X
Psychiatry Physician
5738
OH
2084P0800X
Psychiatry Physician
6234
OH
Other
Enumeration date
01/22/2007
Last updated
08/22/2020
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