Individual
DR. GARY RICHARD COLLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1970 ROANOKE BLVD, SALEM VA MEDICAL CENTER-DEPT. OF SURGERY (112), SALEM, VA 24153-6404
(540) 982-2463
(540) 983-1090
Mailing address
1970 ROANOKE BLVD, SALEM VA MEDICAL CENTER-DEPT. OF SURGERY (112), SALEM, VA 24153-6404
(540) 982-2463
(540) 983-1090
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101051026
VA
2086S0102X
Surgical Critical Care Physician
0101051026
VA
2086S0127X
Trauma Surgery Physician
0101051026
VA
Other
Enumeration date
06/02/2006
Last updated
07/10/2007
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