Charles Robert Collier III, PA-C
Physician Assistant in Galion, OH. Individual provider (NPI-1).
NPI number1275969677
StatusActive
Last updated in NPPESSep 18, 2013
Details
- NPI
- 1275969677
- Entity type
- Individual (NPI-1)
- Name
- Charles Robert Collier III
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 18, 2013
- Last updated
- Sep 18, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 003838 | OH | Yes |
Practice location
269 Portland Way SGalion, OH 44833-2312
Phone 419-468-0733
Mailing address
332 Congress Park DrDayton, OH 45459-4133
Phone 800-726-3627
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