Individual
DR. DOUGLASS D. COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 E PRIMROSE ST, SUITE 560, SPRINGFIELD, MO 65807-5154
(417) 882-9747
(417) 882-1302
Mailing address
2721 E SOUTHERNVIEW RD, OZARK, MO 65721-7297
(417) 581-7557
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R6027
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21965
BLUE CHOICE
MO
Enumeration date
01/11/2007
Last updated
07/08/2007
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