EARLE S COLLUM SR.

ST JOSEPHS PATHOLOGY

Dr EARLE S COLLUM SR. is a male medical professional, specializing in Pathology. He graduated in 1979 from Medical University Of South Carolina College Of Medicine.

Contact

ST JOSEPHS PATHOLOGY

350 W THOMAS RD
PHOENIX
AZ
850134409

Tel: 6024063000

EARLE S COLLUM SR. Information

Npi 1639139264
Pac Id 3072536994
Professional Enrollment Id I20090917000515
Last Name COLLUM
First Name EARLE
Middle Name S
Suffix SR.
Gender M
Credential
Medical School Name MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year 1979
Primary Specialty PATHOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ST JOSEPHS PATHOLOGY
Group Practice Pac Id 5496730590
Number Of Group Practice Members 10
Line 1 Street Address 350 W THOMAS RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City PHOENIX
State AZ
Zip Code 850134409
Phone Number 6024063000
Hospital Affiliation Ccn 1 030024
Hospital Affiliation Lbn 1 ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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