Individual
DR. FREDERICK GRANT COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,PH.D.
Contact information
Practice address
2222 N NEVADA AVE, COLORADO SPRINGS, CO 80907-6819
(719) 776-5060
(719) 776-5063
Mailing address
PO BOX 7670, COLORADO SPRINGS, CO 80933-7670
(719) 776-5060
(719) 776-5963
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34665
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01346659
—
CO
Enumeration date
09/29/2006
Last updated
07/08/2007
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