Individual
BRADLEY T COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4228 HOUMA BLVD, SUITE 600D, METAIRIE, LA 70006-3000
(504) 885-3003
(504) 885-3004
Mailing address
PO BOX 54877, NEW ORLEANS, LA 70154-4877
(504) 889-7240
(504) 889-7180
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
017242
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1358703
—
LA
Enumeration date
04/21/2006
Last updated
03/28/2017
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