Individual
MADISON LEIGH COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1120 S UTICA AVE, TULSA, OK 74104-4090
(918) 579-1000
Mailing address
6120 S YALE AVE STE 1210, TULSA, OK 74136-4234
(918) 888-5211
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5035
OK
2084A2900X
Neurocritical Care Physician
NCC5599
OK
Other
Enumeration date
05/04/2011
Last updated
01/10/2024
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