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Individual

DR. NEIL COLLINGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
622 W MAPLE ST STE H, FARMINGTON, NM 87401-6589
(505) 326-6521
(505) 325-6699
Mailing address
622 W MAPLE ST STE H, FARMINGTON, NM 87401-6589
(505) 326-6521
(505) 325-6699

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
2004-0498
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
55620221
CO
05
74759876
NM
05
915481
AZ
01
P00158467
RAIROAD MCARE
05
T0298
UT
Enumeration date
09/20/2006
Last updated
07/08/2007
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