Individual
A COLLINS VILLAMOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
47017
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
804009
—
AZ
01
—
Z183002
MEDICARE INDIVIDUAL PTAN
—
Enumeration date
04/16/2008
Last updated
01/23/2025
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