Individual
PHILLIP B COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
10496
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00039897
BLUE CROSS BLUE SHIELD VT
VT
05
—
1008021
—
VT
01
—
1518946771
MVP
NH
05
—
30200260
—
NH
01
—
COLL251643
ANTHEM NH
NH
Enumeration date
01/16/2006
Last updated
05/05/2017
Update your record
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