Individual
DR. JOSEPH CLYDE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2724 W THOMAS RD, PHOENIX, AZ 85017-5514
(602) 353-1166
(602) 353-1188
Mailing address
257 N HORNE, MESA, AZ 85203-7930
(480) 969-5250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO3858
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
872417
—
AZ
Enumeration date
05/10/2006
Last updated
12/22/2008
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