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Individual

RICHARD LEO COLLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5525 E LINCOLN DR, # 105, PARADISE VALLEY, AZ 85253-4119
(480) 948-6416
Mailing address
5525 E LINCOLN DR, # 105, PARADISE VALLEY, AZ 85253-4119
(480) 948-6416

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5016
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
224337-04
STATE AHCCS
AZ
01
AZ0028820
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
09/27/2005
Last updated
07/10/2007
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