MR. DARRELL BERNARD COLLIERS CFA PA NPI 1588829048

NPI Information

NPI: 1588829048
Provider Name: MR. DARRELL BERNARD COLLIERS, CFA PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
15200 COMMUNITY RD
GULFPORT, MS
ZIP 39523
Phone: (228) 575-7000
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MR. Darrell Bernard Colliers, CFA PA is a surgical physician assistant in Gulfport, MS. MR. Darrell Bernard Colliers, CFA PA NPI is 1588829048. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15200 COMMUNITY RD
GULFPORT, MS
ZIP 39523
Phone: (228) 575-7000

The enumeration date for this NPI number is 7/24/2008 and was last updated on 7/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	616147	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	616147	OTHER		NATL 1ST ASSIST CORP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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