Individual
DR. STEPHEN LYLE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
38069 MARTHA AVE, SUITE 200, FREMONT, CA 94536-3811
(510) 713-0505
(510) 792-0802
Mailing address
38069 MARTHA AVE, SUITE 200, FREMONT, CA 94536-3811
(510) 713-0505
(510) 792-0802
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
17276
CA
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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