Dr Jackie L Mccollum, Md. P.c.

NPI #1174706808 in Aurora, Colorado

Provider Information

NPI Number: 1174706808
Entity Type: Organization
Organization Name: Dr Jackie L Mccollum, Md. P.c.
Primary Specialty: Point of Service
Enumeration Date: Dec 17, 2007
Last Updated: Jun 10, 2022

Practice Location

Address: 12101 E 2ND AVE
Address 2: SUITE 105
City: Aurora
State: Colorado
ZIP Code: 80011-8327
Phone: (720) 535-6204

Authorized Official

Name: DR. JACKIE LYNNE MCCOLLUM, MD
Title: PRESIDENT
Phone: (720) 535-6204

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Point of Service	305S00000X	Primary

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