COREY B COLLA

LODI, CA
NPI1619934809
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  G40722)
Enumeration Date2006-05-01
Last Update Date2016-05-19
Business Address
-- COREY B COLLA MD
918 S FAIRMONT AVE
LODI, CA 95240-5119
Phone number: 209-366-2001
Mailing Address
-- COREY B COLLA MD
600 COFFEE RD
MODESTO, CA 95355-4201
Phone number: 209-521-6097
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