Provider Demographics
NPI:1386608545
Name:COLLINS, DAVID M (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:M
Last Name:COLLINS
Suffix:
Gender:M
Credentials:DC
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Other - First Name:
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Mailing Address - Street 1:2325 S HARVARD AVE
Mailing Address - Street 2:SUITE 108
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74114-3300
Mailing Address - Country:US
Mailing Address - Phone:918-286-6886
Mailing Address - Fax:918-728-7616
Practice Address - Street 1:2325 S HARVARD AVE
Practice Address - Street 2:SUITE 108
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74114-3300
Practice Address - Country:US
Practice Address - Phone:918-743-8200
Practice Address - Fax:918-743-8609
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2007-07-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK2623111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKU33364Medicare UPIN