NPI 1174706808

Dr Jackie L McCollum, MD. P.C.

Organisation Point of Service Aurora, CO

Practice location

Address: 12101 E 2nd Ave Suite 105, Aurora, CO 80011-8327
Phone: (720) 535-6204
Fax: (720) 949-0540

Authorised official

Name: Jackie Lynne McCollum
Title: President
Phone: (720) 535-6204

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 28393 (CO)

Other Point of Service providers in Colorado →

Registry record

NPI: 1174706808
Entity type: Organization
NPI issued: 17 Dec 2007
Record last updated: 10 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.