Provider Demographics
NPI:1740275338
Name:COLLINS, ANDREW K (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:K
Last Name:COLLINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3260 N HAYDEN RD STE 112
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-6650
Mailing Address - Country:US
Mailing Address - Phone:602-264-9100
Mailing Address - Fax:602-264-9101
Practice Address - Street 1:6020 E ARBOR AVE STE 101
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-6102
Practice Address - Country:US
Practice Address - Phone:480-985-1700
Practice Address - Fax:480-396-3659
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2024-12-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ23261207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ120390OtherGROUP MEDICARE NUMBER
AZ317047OtherGROUP MEDICAID NUMBER
AZWCKKF03Medicare ID - Type Unspecified
AZ121035Medicare PIN
AZ317047OtherGROUP MEDICAID NUMBER
AZ120390OtherGROUP MEDICARE NUMBER