Mccollom, Vance Edmond

Mccollom, Vance Edmond is an individual health care provider with primary practice located at 3300 Nw Expressway Fl 2 , Oklahoma City OK 73112-4418. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Mccollom, Vance Edmond can be contacted via phone (405) 949-3417.

Contact Information

Primary practice address
3300 Nw Expressway Fl 2 Oklahoma City OK 73112-4418
Phone: (405) 949-3417
Fax: (405) 552-5165
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 17658 Oklahoma

Profile Details

NPI number 1609833565
LBN Legal business name Mccollom, Vance Edmond
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Mar 7th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609833565 NPPES
Oklahoma MEDICAID 100119940A

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