Individual
DR. RONALD BENJAMIN COLLINS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1229 C AVE E, OSKALOOSA, IA 52577-4298
(641) 672-3394
Mailing address
1229 C AVE E, OSKALOOSA, IA 52577-4298
(641) 672-3394
(641) 672-3336
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125050346
IL
207R00000X
Internal Medicine Physician
Primary
39422
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036119753
—
IL
05
—
1669420501
—
IA
01
—
809840
MEDICARE GROUP PTAN
IL
01
—
CA4079
RR MEDICARE GROUP PTAN
IL
01
—
I17380
MEDICARE PTAN
IA
01
—
P00617107
RR MEDICARE MEMBER PTAN
IL
Enumeration date
05/29/2007
Last updated
01/28/2026
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