Collins Pain Management, S.c.

NPI #1770804452 in Maryville, Illinois

Provider Information

NPI Number: 1770804452
Entity Type: Organization
Organization Name: Collins Pain Management, S.c.
Primary Specialty: Specialist
Enumeration Date: Jun 17, 2010
Last Updated: Jun 17, 2010

Practice Location

Address: 16B PROFESSIONAL PARK DR
City: Maryville
State: Illinois
ZIP Code: 62062-5672
Phone: (618) 288-0879

Authorized Official

Name: DR. GREGORY COLLINS, M.D.
Title: OWNER
Phone: (618) 288-0879

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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