Individual
TARYN BRADLEY COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1501 HILAND AVE, BURLEY, ID 83318-2688
(801) 507-9700
Mailing address
PO BOX 17706, DENVER, CO 80217-0706
(877) 346-2211
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2358
NE
207P00000X
Emergency Medicine Physician
5315087447
MI
207P00000X
Emergency Medicine Physician
Primary
O-1896
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2016
Last updated
12/20/2024
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