DR JACKIE L MCCOLLUM MD. P.C. NPI 1174706808

NPI Information

DR JACKIE L MCCOLLUM, MD. P.C. is a point of service in Aurora, CO. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. DR JACKIE L MCCOLLUM, MD. P.C. NPI is 1174706808. The provider is registered as an organization entity type.

The provider's business location address is:

1411 S POTOMAC ST
SUITE 440
AURORA, CO
ZIP 80012-536
Phone: (720) 535-6204

The provider's authorized official is Jackie Lynne Mccollum .
The authorized official title is President and has the following contact phone number (720) 535-6204.

The enumeration date for this NPI number is 12/17/2007 and was last updated on 5/9/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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