Individual
A COLLINS VILLAMOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2635 N DYSART RD, AVONDALE, AZ 85392-2001
(623) 237-3440
(480) 685-8379
Mailing address
2416 W ESPARTERO WAY, PHOENIX, AZ 85086-5525
(623) 237-3440
(480) 685-8379
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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