Individual
CARL E COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
(951) 486-4574
(951) 486-4560
Mailing address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
(951) 486-4574
(951) 486-4560
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20A5308
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
20A5308
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX53080
—
CA
Enumeration date
07/24/2006
Last updated
12/28/2023
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