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Individual

JOHN C COLLINGWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4411 THE 25 WAY NE, SUITE 150, ALBUQUERQUE, NM 87109-5857
(505) 332-5800
(505) 332-6921
Mailing address
4411 THE 25 WAY NE, SUITE 150, ALBUQUERQUE, NM 87109-5857
(505) 332-5800
(505) 332-6921

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
01034332
IN
2085R0202X
Diagnostic Radiology Physician
01034332
IN
2085R0202X
Diagnostic Radiology Physician
Primary
MD2007-0103
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100353300
IN
05
59629835
NM
Enumeration date
09/14/2005
Last updated
03/12/2014
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