Individual
DR. WILLIAM T COLLINS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4037 TAYLOR RD, SUITE A, CHESAPEAKE, VA 23321-5535
(757) 483-1403
(757) 483-3757
Mailing address
4037 TAYLOR RD, SUITE A, CHESAPEAKE, VA 23321-5535
(757) 483-1403
(757) 483-3757
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101034439
VA
208800000X
Urology Physician
4834367-8905
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107009004101
SELECT HEALTH PLANS
UT
01
—
19-00118
UNITED HEALTHCARE
UT
01
—
340020002
RAILROAD MEDICARE
UT
01
—
48343671200001
REGENCE BC/BS
UT
01
—
694887
DESERET MUTUAL HEALTHCARE
UT
01
—
870673378COL
EDUCATORS CARE
UT
01
—
QM0000054900
ALTIUS HEALTH PLANS
UT
Enumeration date
08/31/2006
Last updated
05/17/2013
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