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1144231291
RICKY STANLEY COLLIS
LOUISVILLE, KY
NPI
1144231291
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208VP0000X Pain Medicine, Pain Medicine
(Licence: KY 29814)
Enumeration Date
2006-08-11
Last Update Date
2008-07-10
Business Address
-- RICKY STANLEY COLLIS MD
315 E BROADWAY SUITE 250
LOUISVILLE, KY 40202-3700
Phone number: 502-589-4765
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Mailing Address
-- RICKY STANLEY COLLIS MD
315 E BROADWAY SUITE 250
LOUISVILLE, KY 40202-3700
Phone number: 502-589-4765
Copy
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