Individual
DR. JEFFREY PAUL COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
184 W 1ST ST, GEORGETOWN, ID 83239
(208) 847-0204
(208) 847-0204
Mailing address
PO BOX 54, GEORGETOWN, ID 83239-0054
(208) 847-0204
(208) 847-0204
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-100116
ID
Other
Enumeration date
11/21/2006
Last updated
01/09/2008
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