Individual
DR. RICHARD D COLLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1003 WILLOW CREEK RD, PRESCOTT, AZ 86301-1641
(928) 778-2405
Mailing address
PO BOX 2860, PRESCOTT, AZ 86302-2860
(928) 778-2405
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15632
AZ
Other
Enumeration date
02/23/2006
Last updated
09/13/2011
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