DARRELL BERNARD COLLIERS

GULFPORT, MS
NPI1588829048
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: MS  616147)
Enumeration Date2008-07-24
Last Update Date2008-07-24
Business Address
Mr. DARRELL BERNARD COLLIERS CFA PA
15200 COMMUNITY RD
GULFPORT, MS 39523
Phone number: 228-575-7000
Mailing Address
Mr. DARRELL BERNARD COLLIERS CFA PA
230 AUDUBON DRIVE
MANDEVILLE, LA 70471
Phone number: 985-845-1501
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