Individual
MARK EDWARD COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4590 W 121ST AVE, BROOMFIELD, CO 80020-5666
(303) 439-4544
(303) 439-9369
Mailing address
3455 TABLE MESA DR APT B116, BOULDER, CO 80305-5833
(614) 302-5265
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35062911C
OH
Other
Enumeration date
10/04/2005
Last updated
12/15/2021
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