MR. DARRELL BERNARD COLLIERS CFA PA
NPI 1588829048
Physician Assistant - Surgical in Gulfport, MS
Active since July 24, 2008
About Mr. Darrell Bernard Colliers Cfa Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. DARRELL BERNARD COLLIERS CFA PA (NPI 1588829048) is an individual surgical provider in Gulfport, Mississippi, licensed in Mississippi (616147) and active in the NPI registry since July 2008.
NPPES Registry Identity
NPI1588829048
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. DARRELL BERNARD COLLIERSCredential: CFA PA
Location Address15200 COMMUNITY RDGulfport, MS 39523
Mailing Address230 Audubon DriveMandeville, LA 70471 · (985) 845-1501 · Fax (985) 845-1601
Phone(228) 575-7000
Sole ProprietorYes
Enumeration DateJuly 24, 2008
✔ NPI 1588829048 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in MS · 616147
15200 COMMUNITY RD, Gulfport, MS 39523
Other Identifiers 1
Other616147Natl 1st Assist Corp
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588829048, enumerated as an "individual" on July 24, 2008.
The provider is located at 15200 COMMUNITY RD GULFPORT, MS 39523 and the phone number is (228) 575-7000.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
