Individual
DR. MICHAEL COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 W THOMAS RD, ATTN: ACADEMIC AFFAIRS, PHOENIX, AZ 85013-4409
(602) 406-3382
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R74078
AZ
2085R0202X
Diagnostic Radiology Physician
Primary
49699
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R74078
TRAINING PERMIT
AZ
Enumeration date
06/18/2013
Last updated
09/06/2022
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