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Individual

MR. NATHAN DAVID COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(314) 454-6165
(314) 454-2381
Mailing address
660 S EUCLID AVE, C B 8234, SAINT LOUIS, MO 63110-1010
(314) 454-6165
(314) 454-2381

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2014020449
MO

Other

Enumeration date
06/13/2014
Last updated
10/22/2015
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