Provider Demographics
NPI:1417417023
Name:COLLINS, TYLER JEFFREY (MD)
Entity type:Individual
Prefix:
First Name:TYLER
Middle Name:JEFFREY
Last Name:COLLINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1155 MILL ST # M14
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-1576
Mailing Address - Country:US
Mailing Address - Phone:775-982-6270
Mailing Address - Fax:775-982-6271
Practice Address - Street 1:75 PRINGLE WAY STE 900
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1464
Practice Address - Country:US
Practice Address - Phone:775-982-6270
Practice Address - Fax:775-982-6271
Is Sole Proprietor?:No
Enumeration Date:2019-03-20
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV27677208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV16516431OtherCAQH
NV27677OtherNEVADA