Individual
DR. MICHAEL RAY COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 FRANK PHILLIPS BLVD, SUITE 400, BARTLESVILLE, OK 74006-2495
(918) 331-2522
(918) 331-2539
Mailing address
3400 FRANK PHILLIPS BLVD, SUITE 400, BARTLESVILLE, OK 74006-2495
(918) 331-2522
(918) 331-2539
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17344
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100061520A
—
OK
Enumeration date
07/03/2006
Last updated
07/17/2012
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