Organization
WILLIAM E. MCCOLLUM, M.D., P.A.
Active
Other names
McCollum Psychiatric Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM MCCOLLUM M.D. (PRESIDENT)
(479) 621-8600
Entity
Organization
Contact information
Practice address
201 N 36TH ST, ROGERS, AR 72756-1750
(479) 621-8600
Mailing address
201 N 36TH ST, ROGERS, AR 72756-1750
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
C-6457
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101217001
—
AR
Enumeration date
05/19/2009
Last updated
05/19/2009
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