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Individual

DR. LEONARD R COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
740 HIGH ST, SUITE 1004, WILLIAMSPORT, PA 17701-3100
(570) 321-3300
(570) 321-3301
Mailing address
1201 GRAMPIAN BLVD, SUITE 1K, WILLIAMSPORT, PA 17701-1900

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD023015E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000144888
HIGHMARK
PA
05
0007968970001
PA
Enumeration date
09/30/2005
Last updated
02/20/2015
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