Mitchell Allen Collar
Mitchell Allen Collar is a Student in an Organized Health Care Education/Training Program in Moscow, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2019
Practice location Address checks out
875 Perimeter DrMoscow, ID 83844-9803
Phone: (208) 885-6111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (ID) |
|---|
Record details
| NPI number | 1487207072 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 22, 2019 |
| Last updated in NPPES | July 22, 2019 |
| Mailing address | 254 Baker St Apt 4, Moscow, ID 83843-3276 |
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