Individual
DR. JOHN A COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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