Collins Ambulatory Anesthesia Services Sc

NPI #1992003636 in Edwardsville, Illinois

Provider Information

NPI Number: 1992003636
Entity Type: Organization
Organization Name: Collins Ambulatory Anesthesia Services Sc
Primary Specialty: Anesthesiology
Enumeration Date: Mar 4, 2011
Last Updated: Mar 4, 2011

Practice Location

Address: 106 FRIARS LN
City: Edwardsville
State: Illinois
ZIP Code: 62025-3876
Phone: (618) 973-5189

Authorized Official

Name: DR. GREGORY COLLINS, M.D.
Title: PRESIDENT
Phone: (618) 973-5189

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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