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Mitchell Allen Collar
Student in an Organized Health Care Education/Training Program in Moscow, Idaho
NPI 1487207072

Mitchell Allen Collar is a Student in an Organized Health Care Education/Training Program based in Moscow, ID. Mitchell Allen Collar practices in Moscow, ID. The NPI Number for Mitchell Allen Collar is 1487207072 and holds a License No. (Idaho).

The current practice location address for Mitchell Allen Collar is 875 Perimeter Dr, Moscow, ID and can be reached out via phone at 208-885-6111. You can also correspond with Mitchell Allen Collar through the mailing address at 254 BAKER ST APT 4, MOSCOW, ID - 83843-3276 (mailing address contact number: 208-503-2493).

Location: 875 Perimeter Dr, Moscow, ID, 83843-3276
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487207072
Provider Name
Mitchell Allen Collar
Credential
Provider Entity Type
Individual
Gender
Male
Address
875 Perimeter Dr, Moscow, ID, 83843-3276
Phone Number
208-885-6111
Fax Number
Provider Enumeration Date
07/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
875 Perimeter Dr
City
Moscow
State
Idaho
Zip
83844-9803
Phone Number
208-885-6111
Fax Number
person
Provider Business Mailing Address Details
Address
875 Perimeter Dr
City
Moscow
State
Idaho
Zip
83844-9803
Phone Number
208-885-6111
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Idaho)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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