Provider Demographics
NPI:1801887153
Name:STRAND, RICHARD COLLINS (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:COLLINS
Last Name:STRAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:RICHARD
Other - Middle Name:COLLINS
Other - Last Name:STRAND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:8300 E DIXILETA DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85262-2276
Mailing Address - Country:US
Mailing Address - Phone:480-595-2562
Mailing Address - Fax:480-595-2564
Practice Address - Street 1:18404 N TATUM BLVD
Practice Address - Street 2:#103
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-1510
Practice Address - Country:US
Practice Address - Phone:602-485-7490
Practice Address - Fax:602-485-7497
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEAZ59712085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ25034Medicare PIN
AZA35191Medicare UPIN