Charlie Ann Collenborne in Mountain Home Afb - General Practice

Charlie Ann Collenborne - NPI 1598945073

Charlie Ann Collenborne is a General Practice in Mountain Home Afb, Idaho. Charlie Ann Collenborne practices all healthcare services and medical treatments related to General Practice. The NPI Number for Charlie Ann Collenborne is 1598945073. The last update date is 2018-10-03.

Charlie Ann Collenborne's current location address is 90 Hope Dr Bldg 6000, Mountain Home Afb, Idaho. You can contact this provider via phone number 2088287281. The mailing address for Charlie Ann Collenborne is 90 Hope Dr Bldg 6000, Mountain Home Afb, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Charlie Ann Collenborne
Address 90 Hope Dr Bldg 6000, Mountain Home Afb, Idaho
Phone Number 2088287281
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1598945073
Provider Enumeration Date 2007-11-13
Last Updated Date 2018-10-03

Provider Mailing Address Detail

Address 90 Hope Dr Bldg 6000
City Mountain Home Afb
State Idaho (ID)
Post Code 836481000
Phone Number 2088287281
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 04-32778
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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FAQs about Charlie Ann Collenborne

What is the unique identification code assigned to Charlie Ann Collenborne by the Centers for Medicare & Medicaid Services?

The Charlie Ann Collenborne has been issued the NPI (National Provider Identifier) 1598945073. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Charlie Ann Collenborne's facilities are geographically located?

The facilities of Charlie Ann Collenborne are physically situated at the following location: 90 Hope Dr Bldg 6000, Mountain Home Afb, ID, 836481000.

What is Charlie Ann Collenborne's specialized field of practice, and what is the corresponding taxonomy classification code?

The Charlie Ann Collenborne's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 208D00000X.

When was the Charlie Ann Collenborne's 1598945073 issued?

The Charlie Ann Collenborne's 1598945073 was issued on 2007-11-13.

As of what date was the information pertaining to Charlie Ann Collenborne, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Charlie Ann Collenborne, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-10-03.

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