Individual
MICHAEL MAGILL-COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 ENCINO PL NE STE C14, ALBUQUERQUE, NM 87102-2643
(505) 272-0110
Mailing address
1937 TRUMAN ST NE, ALBUQUERQUE, NM 87110
(970) 531-8181
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0058723
CO
207Q00000X
Family Medicine Physician
Primary
MD2018-0106
NM
Other
Enumeration date
05/27/2014
Last updated
11/14/2018
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