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NPI Profile for DARRELL B COLLIERS in GULFPORT, MS.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI # | 1588829048 |
|
| Status | Active | |
| Credentials | CFA PA | |
| Entity | Individual | |
| Enumeration date | 07/24/2008 | |
| Last updated | 07/24/2008 - About 18 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DARRELL B COLLIERS
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DARRELL B COLLIERS, CFA PA