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Individual

DR. MARK S. COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1492 E BROAD ST, TOWER 13, COLUMBUS, OH 43205-1546
(614) 257-2900
(614) 257-2079
Mailing address
1492 E BROAD ST, TOWER 13, COLUMBUS, OH 43205-1546
(614) 257-2900
(614) 257-2079

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
35065485
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0331055
OH
Enumeration date
05/08/2006
Last updated
01/10/2014
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