Organization
JOSEPH L COLLINS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH L. COLLINS MD (PRESIDENT)
(575) 532-7000
Entity
Organization
Contact information
Practice address
1100 CARSON AVE, LA JUNTA, CO 81050
(719) 383-6163
Mailing address
205 W BOUTZ RD, BLDG #1, LAS CRUCES, NM 88005-3259
(575) 532-7000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300126424
RR MEDICARE
—
05
—
83231234
—
CO
Enumeration date
08/23/2006
Last updated
07/02/2009
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