ETHAN B COLLIVER

BLACKSBURG, VA
NPI1184803330
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: VA  0102202357)
Enumeration Date2007-10-24
Last Update Date2022-12-16
Business Address
Dr. ETHAN B COLLIVER D.O.
120 PROFESSIONAL PARK DR SE STE 7
BLACKSBURG, VA 24060
Phone number: 540-443-3832
Mailing Address
Dr. ETHAN B COLLIVER D.O.
120 PROFESSIONAL PARK DR SE STE 7
BLACKSBURG, VA 24060-6739
Phone number: 540-443-3832
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