IndividualActive
C Mccollum, D.O.
NPI 1679799415 · General Practice Physician · Oklahoma City, OK
Provider details
- NPI number
- 1679799415
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2178 (OK)
Mailing address
2236 Sw 59th St
Oklahoma City, OK 73119-7027
Registry dates
- Enumerated
- 2007-04-18
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.