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1003891060
MICHAEL J MCCOLLUM
PUEBLO, CO
NPI
1003891060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: CO 42869)
Enumeration Date
2005-12-13
Last Update Date
2020-11-05
Business Address
DR. MICHAEL J MCCOLLUM M.D.
1008 MINNEQUA AVE
PUEBLO, CO 81004-3733
Phone number: 719-542-7891
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Mailing Address
DR. MICHAEL J MCCOLLUM M.D.
PO BOX 7693
LOVELAND, CO 80537-0693
Phone number: 970-663-2742
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