| Frank J Collie Md Medical Corporation | |
|
148 Casa St San Luis Obispo CA 93405-1804 | |
| (805) 543-8310 | |
| (805) 543-3754 |
| Full Name | Frank J Collie Md Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 148 Casa St, San Luis Obispo, California |
| Authorized Official Name and Position | Frank J. Collie (OWNER) |
| Authorized Official Contact | 8055438310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frank J Collie Md Medical Corporation 148 Casa St San Luis Obispo CA 93405-1804 Ph: (805) 543-8310 | Frank J Collie Md Medical Corporation 148 Casa St San Luis Obispo CA 93405-1804 Ph: (805) 543-8310 |
| NPI Number | 1295925105 |
|---|---|
| Provider Enumeration Date | 07/26/2007 |
| Last Update Date | 08/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295925105 | NPI | - | NPPES |
| Z11763 | Other | CA | CERTIFICATE OF REGISTRATI |
| 020419 | Other | CA | CITY OF SAN LUIS OBISPO B |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | Z11763 (California) | Primary |
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