Provider Demographics
NPI:1699731091
Name:COLLIER, STEVEN (MD)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:
Last Name:COLLIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 277
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:AR
Mailing Address - Zip Code:72006-0277
Mailing Address - Country:US
Mailing Address - Phone:870-347-3300
Mailing Address - Fax:870-347-3492
Practice Address - Street 1:400 HIGHWAY 64 E
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:AR
Practice Address - Zip Code:72006-5150
Practice Address - Country:US
Practice Address - Phone:870-347-2508
Practice Address - Fax:870-347-5556
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS11515207Q00000X
OK14898207Q00000X
ARC5781207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR106582001Medicaid
AR511367297Medicare PIN
C68063Medicare UPIN
AR511367650Medicare PIN
AR0060006008Medicare PIN
AR51136Medicare PIN