Individual
DR. DAVID T COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 W MICHIGAN ST, GATCH HALL, CL 630, INDIANAPOLIS, IN 46202-5209
(317) 278-2694
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01079051A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11018849A
IN
Other
Enumeration date
06/06/2016
Last updated
05/04/2021
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