Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 22408 | CO |
NPI | 1003959586 |
---|---|
Provider Name | Dr. Timothy R Collins |
First Address | Denver, CO 80247-1314 |
Second Address | Denver, CO 80205-5423 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2007 |
Last Update Date | 30/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002820 | KAISER-COMMERCIAL NUMBER (01) | |
81528388 | (05) | CO |
D24094 | (02) |