Individual
ROBERT M COLLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, CDE
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1511
(602) 263-1619
Mailing address
PO BOX 31001-0698, PASADENA, CA 91110-0698
(602) 263-1511
(602) 263-1619
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
850525
AZ
Other
Enumeration date
10/18/2006
Last updated
09/09/2008
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