Doctor Name: | DR. JOHN COLLERAN |
NPI Number: | 1265494231 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | OS7028 |
Business Practice Address: | 4000 Richards Rd Suite A North Little Rock, AR - 721172650 |
Business Phone Number: | 5017585133 |
Business Fax Number: | 5017585173 |
Mailing Address: | 10100 Kanis Rd, LITTLE ROCK |
State: | AR |
Postal Code: | 722056202 |
Phone Number: | 5012556000 |
Fax Number: | |
NPI Enumeration Date: | 04/05/2006 |
NPI Last Update Date: | 01/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | OS7028 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |