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Contact Information

JOHN C COLLINGWOOD, MD
4411 THE 25 WAY NE
SUITE 150
ALBUQUERQUE, NM87109-5857
 Phone: 505-332-5800
 Fax: 505-332-6921
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Neuroradiology

2085N0700X
Indicates primary specialty

NPI Profile & details for JOHN C COLLINGWOOD · (Male)

NPI # 1760477970
Status Active
Credentials MD
Entity Individual
Enumeration date 09/14/2005
Last updated 03/12/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01034332
  • NM License # MD2007-0103
  • IN Medicaid 100353300
  • NM Medicaid 59629835
Hospital affiliation(s)
  • DR DAN C TRIGG MEMORIAL HOSPITAL - (Critical Access)
    301 EAST MIEL DE LUNA AVENUE
    TUCUMCARI, NM 88401
  • LINCOLN COUNTY MEDICAL CENTER - (Critical Access)
    211 SUDDERTH DRIVE
    RUIDOSO, NM 88345
  • PRESBYTERIAN HOSPITAL - (Acute Care)
    1100 CENTRAL AVENUE SE
    ALBUQUERQUE, NM 87106
  • SOCORRO GENERAL HOSPITAL - (Critical Access)
    1202 HIGHWAY 60 WEST
    SOCORRO, NM 87801
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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