Individual
DR. DAVID RAY COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
642 COMMUNITY BEACH RD, CENTRALIA, IL 62801-8210
(618) 532-7939
Mailing address
642 COMMUNITY BEACH RD, CENTRALIA, IL 62801-8210
(618) 532-7939
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036057092
IL
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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