Dr. William Richard Collie IV
Clinical Genetics (M.D.)
17724 Interstate 30 Ste 2
Benton
, Arkansas 72019-2907
Dr. William Richard Collie IV
Clinical Genetics (M.D.)
17724 Interstate 30 Ste 2
Benton
, Arkansas 72019-2907
(501) 325-3469
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About
Features
Specialties
- Clinical Genetics (M.D.)
Languages spoken
- English
Location
First Address
- Dr. William Richard Collie IV
- 1201 Military Rd Ste 2 Pmb 269
- Benton, AR
- Zip : 72015-2908
- Fax : (501) 325-3469
- Phone : (501) 920-7901
Second Address
- Dr. William Richard Collie IV
- 17724 Interstate 30 Ste 2
- Benton, AR
- Zip : 72019-2907
- Fax : (501) 325-3469
- Phone : (501) 920-7901
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207SG0201X | Clinical Genetics (M.D.) | R-2220 | AR |
National Provider Identifier
| NPI | 1497923155 |
|---|---|
| Provider Name | Dr. William Richard Collie IV |
| First Address | Benton, AR 72015-2908 |
| Second Address | Benton, AR 72019-2907 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/02/2008 |
| Last Update Date | 07/04/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.