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Individual

DR. ROBERT HENRY COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10506 MONTGOMERY ROAD, STE. 101, CINCINNATI, OH 45242-4400
(513) 794-1601
(513) 794-1620
Mailing address
1270 SOLUTIONS CENTER, PO BOX 771270, CHICAGO, IL 60677-1002
(513) 542-6898
(513) 542-7972

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35048117
OH
2086S0129X
Vascular Surgery Physician
Primary
35-048117
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000021293
ANTHEM
OH
01
020034064
RAILLROAD MEDICARE
OH
01
0643412
AETNA
OH
01
297849
AMERIGROUP
OH
01
743190
BUCKEYE
OH
Enumeration date
12/27/2005
Last updated
11/22/2011
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