Organization
CHARLES D. COLLINS, MD, FACS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES DAVID COLLINS M.D. (OWNER)
(575) 532-0880
Entity
Organization
Contact information
Practice address
2525 S TELSHOR BLVD, SUITE 16-108, LAS CRUCES, NM 88011-5071
(575) 532-0880
(575) 532-6466
Mailing address
2525 S TELSHOR BLVD, SUITE 16-108, LAS CRUCES, NM 88011-5071
(575) 532-0880
(575) 532-6466
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20030073
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95582789
—
NM
Enumeration date
10/05/2007
Last updated
05/20/2009
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