Individual
DR. HENRY H COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1234 EMPIRE ST, FAIRFIELD, CA 94533-5711
(707) 426-3911
(707) 434-2090
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G66566
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G665660
—
CA
Enumeration date
10/06/2006
Last updated
07/29/2015
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