Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 37282 | IA |
N | 204F00000X | Transplant Surgeon | A90545 | CA |
Y | 204F00000X | Transplant Surgeon | DR.0061657 | CO |
NPI | 1194750083 |
---|---|
Provider Name | Dr. Thomas Eugene Collins |
First Address | Denver, CO 80210-5850 |
Second Address | Denver, CO 80210-5850 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 24/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
70103 | WELLMARK BCBS (01) | IA |
9000169223 | (05) | CO |