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NPI Code Detail

MEDICARE: DR. CHRISTOPHER W COLLIER M.D.

MEDICARE:  DR. CHRISTOPHER W COLLIER  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianDR.0061703CO
2207Q00000XFamily Medicine PhysicianMD 28042OR
3207Q00000XFamily Medicine Physician297311-1NY
4207Q00000XFamily Medicine PhysicianMD0000041858TN
5207Q00000XFamily Medicine PhysicianMED-PHYS-LIC-70854MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2DR.0061703OTHERCOCOLORADO MEDICAL BOARD
3MED-PHYS-LIC-70854OTHERMTMONTANA BOARD OF MEDICAL EXAMINERS
40000041858OTHERTNTENNESSEE DEPT OF HEALTH
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6MD 28042OTHEROROREGON MEDICAL BOARD
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942362660
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER W COLLIER M.D.
Provider Business Mailing Address
First Line : 10486 FIRE BUCKET LOOP
Second Line :
City : MISSOULA
State : MT
Zip : 59808-8499
Country : US
Telephone Number : 970-254-2642
Fax Number :
Provider Business Practice Location Address
First Line : 6850 UPPER BOX ELDER RD
Second Line :
City : BOX ELDER
State : MT
Zip : 59521-9073
Country : US
Telephone Number : 406-395-4486
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2006
Last Update Date : 04/30/2025

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