Individual
MR. DEON COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12181 DRIFTSTONE DR, FISHERS, IN 46037-8402
(317) 993-9121
Mailing address
12181 DRIFTSTONE DR, FISHERS, IN 46037-8402
(317) 993-9121
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710229216
—
IN
Enumeration date
07/17/2018
Last updated
07/17/2018
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