Individual
MICHAEL COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8424 E SHEA BLVD, SUITE 101, SCOTTSDALE, AZ 85260-6662
(480) 478-6620
(480) 596-8522
Mailing address
7701 W SAINT JOHN RD, APT 1141, GLENDALE, AZ 85308-8608
(623) 215-5648
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
173723
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0797
AZ
Other
Enumeration date
07/26/2011
Last updated
10/24/2014
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