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Dr. Charlie Ann Collenborne, MD
General Practice Physician in Mountain Home Afb, Idaho
NPI 1598945073

Charlie Ann Collenborne is a General Practice Physician based in Mountain Home Afb, ID. Charlie Ann Collenborne practices in Mountain Home Afb, ID and has the professional credentials of MD. The NPI Number for Charlie Ann Collenborne is 1598945073 and holds a License No. 04-32778 (Idaho).

The current practice location address for Charlie Ann Collenborne is 90 Hope Dr Bldg 6000, Mountain Home Afb, ID and can be reached out via phone at 208-828-7281.

Location: 90 Hope Dr Bldg 6000, Mountain Home Afb, ID, 83648-1000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598945073
Provider Name
Charlie Ann Collenborne
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
90 Hope Dr Bldg 6000, Mountain Home Afb, ID, 83648-1000
Phone Number
208-828-7281
Fax Number
Provider Enumeration Date
11/13/2007
Last Update Date
09/14/2024
institution
Provider Business Practice Location Address Details
Address
90 Hope Dr Bldg 6000
City
Mountain Home Afb
State
Idaho
Zip
83648-1062
Phone Number
208-828-7281
Fax Number
person
Provider Business Mailing Address Details
Address
90 Hope Dr Bldg 6000
City
Mountain Home Afb
State
Idaho
Zip
83648-1062
Phone Number
208-828-7281
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
04-32778 (Kansas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
04-32778 (Kansas)
Definition
Definition to come...
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