Individual
MICHAEL ALLEN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
170 E ALTAMIRA DR, CEDAR CITY, UT 84720-3509
(435) 586-0213
(435) 865-9248
Mailing address
1154 W 425 S APT B, CEDAR CITY, UT 84720-4200
(435) 572-5494
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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