Casey Mccollum, PA-C
NPI #1083963664 in Pomona, California
Provider Information
- NPI Number
- 1083963664
- Entity Type
- Individual
- Name
- Casey Mccollum, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Aug 29, 2012
- Last Updated
- Jan 13, 2014
Practice Location
- Address
- 1902 ROYALTY DR
- Address 2
- SUITE 130
- City
- Pomona
- State
- California
- ZIP Code
- 91767-3030
- Phone
- (909) 865-5777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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