Ethan B. Colliver D.o. Pllc
NPI #1740572205 in Blacksburg, Virginia
Provider Information
- NPI Number
- 1740572205
- Entity Type
- Organization
- Organization Name
- Ethan B. Colliver D.o. Pllc
- Primary Specialty
- Physical Medicine & Rehabilitation
- Enumeration Date
- May 3, 2011
- Last Updated
- May 3, 2011
Practice Location
- Address
- 3706 S MAIN ST
- City
- Blacksburg
- State
- Virginia
- ZIP Code
- 24060-7006
- Phone
- (540) 345-3556
Authorized Official
- Name
- ETHAN B. COLLIVER, D.O.
- Title
- PRESIDENT
- Phone
- (540) 345-3556
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation |
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