Individual
DR. DAN A COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
324 E 10TH AVE, SUITE 100, SALT LAKE CITY, UT 84103-2853
(801) 408-7500
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 408-7500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2012-00510
NC
207RG0100X
Gastroenterology Physician
2012-00510
NC
207RG0100X
Gastroenterology Physician
Primary
9388734-1205
UT
Other
Enumeration date
04/02/2009
Last updated
05/10/2016
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