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Individual

DR. JOHN A COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2121 E HARMONY RD, STE 330, FORT COLLINS, CO 80528-3400
(970) 221-5878
(970) 221-3564
Mailing address
2695 ROCKY MOUNTAIN AVE, STE 150, LOVELAND, CO 80538-8702
(970) 221-5878
(970) 221-3564

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20419
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01204197
CO
05
133398400
WY
01
P00970423
MEDICARE RAILROAD
CO
Enumeration date
03/20/2006
Last updated
03/20/2016
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