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Individual

DR. CARLETON COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
2496 BAUER ROAD, SAN DIEGO, CA 92145-2111
(858) 307-4656
(858) 307-9849
Mailing address
11225 LEE WAY APT 16105, SAN DIEGO, CA 92126-3080
(609) 217-0029

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101273734
VA

Other

Enumeration date
04/16/2020
Last updated
10/13/2023
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