Individual
COLIN BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5076
(575) 522-8641
Mailing address
50 N PERRY ST, PONTIAC, MI 48342-2217
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
DO2022-0077
NM
207YS0123X
Facial Plastic Surgery Physician
5101023512
MI
207YS0123X
Facial Plastic Surgery Physician
5315087403
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/15/2017
Last updated
03/11/2023
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