Individual
WARREN PATRICK COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1342 E PRIMROSE ST, SUITE B, SPRINGFIELD, MO 65804-4279
(417) 869-3200
(417) 869-3212
Mailing address
1342 E PRIMROSE ST, SUITE B, SPRINGFIELD, MO 65804-4279
(417) 869-3200
(417) 869-3212
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
114662
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169344001
—
AR
05
—
203814702
—
MO
01
—
90-0259728
TAX ID
MO
Enumeration date
08/08/2006
Last updated
02/17/2020
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