Individual
MR. JOHN ERNEST COLLINS I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
(505) 256-5417
Mailing address
2315 CHERRY TREE LN SW, ALBUQUERQUE, NM 87105-7062
(505) 452-0267
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2004-0008
NM
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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