Organization
COLLINS PAIN MANAGEMENT, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY COLLINS M.D. (OWNER)
(618) 288-0879
Entity
Organization
Contact information
Practice address
16B PROFESSIONAL PARK DR, MARYVILLE, IL 62062-5672
(618) 288-0879
(618) 288-3351
Mailing address
16B PROFESSIONAL PARK DR, MARYVILLE, IL 62062-5672
(618) 288-0879
(618) 288-3351
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036079652
IL
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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