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Individual
MR. DARRELL BERNARD COLLIERS
Active
Individual
MR. DARRELL BERNARD COLLIERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CFA PA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
616147
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
616147
NATL 1ST ASSIST CORP
—
Enumeration date
07/24/2008
Last updated
07/24/2008
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