Individual
BRADLEY L COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 UNIVERSITY BLVD # UH1501, INDIANAPOLIS, IN 46202-5149
(317) 962-8776
(317) 963-5285
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01085689A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/17/2018
Last updated
08/02/2021
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