Healthcare Provider Details

I. General information

NPI: 1194750083
Provider Name (Legal Business Name): THOMAS EUGENE COLLINS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 06/24/2021
Certification Date: 06/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2535 S DOWNING ST STE 380
DENVER CO
80210-5850
US

IV. Provider business mailing address

2535 S DOWNING ST STE 380
DENVER CO
80210-5850
US

V. Phone/Fax

Practice location:
  • Phone: 303-778-5797
  • Fax:
Mailing address:
  • Phone: 303-778-5797
  • Fax: 303-778-5205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License NumberA90545
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License Number37282
License Number StateIA
# 3
Primary TaxonomyY
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License NumberDR.0061657
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: