MARK JEROME COLLINS

PRESCOTT VALLEY, AZ
NPI1295747368
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: AZ  4145)
Additional Taxonomies2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: NV  766)
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: IA  02847)
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA  20A12037)
Enumeration Date2006-08-13
Last Update Date2016-05-25
Business Address
-- MARK JEROME COLLINS DO
5940 E COPPER HILL DR SUITE B
PRESCOTT VALLEY, AZ 86314-2860
Phone number: 702-379-2227
Mailing Address
-- MARK JEROME COLLINS DO
5940 E COPPER HILL DR SUITE B
PRESCOTT VALLEY, AZ 86314-2860
Phone number: 702-379-2227