Individual
BRADLEY DONALD COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
345 TERRACINA BLVD, REDLANDS, CA 92373-4829
(909) 793-1399
Mailing address
558 E ROSEWOOD CT, ONTARIO, CA 91764-2827
(909) 988-1145
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
15218
CA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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