Healthcare Provider Details

I. General information

NPI: 1942628300
Provider Name (Legal Business Name): COLLIN C BARBER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2014
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 E STATE RD 73
SARATOGA SPRINGS UT
84043-2966
US

IV. Provider business mailing address

PO BOX 27128 ATT CREDENTIALING
SALT LAKE CITY UT
84127-0128
US

V. Phone/Fax

Practice location:
  • Phone: 801-855-2663
  • Fax:
Mailing address:
  • Phone: 801-855-2663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number4301116837
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number11641008-1205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: