Organization · Type 2 NPI

DR Jackie L McCollum, Md. P.c.

Point of Service · Aurora, CO

NPI number 1174706808 Active

Practice location

12101 E 2nd Ave, Suite 105
Aurora, CO 80011-8327

Fax (720) 949-0540

Specialties and licenses

TaxonomyCodeLicense
Point of Service Primary 305S00000X28393 (CO)

Point of Service: 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.

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About NPI 1174706808

DR Jackie L McCollum, Md. P.c.'s National Provider Identifier is 1174706808, issued on Dec 17, 2007. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Aurora, CO. The record was last updated on Jun 10, 2022.