Individual
MR. MILO S COLLIER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP
Contact information
Practice address
1113 VANDERCOOK WAY, SUITE 120, LONGVIEW, WA 98632-4024
(360) 423-0459
(360) 575-1144
Mailing address
PO BOX 909, LONGVIEW, WA 98632-7568
(360) 423-0459
(360) 575-1144
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
PS00000061
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1057407
—
WA
Enumeration date
06/01/2010
Last updated
06/01/2010
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