Individual
BRYAN COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3 RIVERSIDE CIR, ROANOKE, VA 24016-4955
(540) 224-5170
(540) 983-8212
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5352
(540) 983-8212
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
0102203012
VA
2086S0127X
Trauma Surgery Physician
DO01601
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VV4675A
MEDICARE PTAN
VA
Enumeration date
10/09/2006
Last updated
02/02/2023
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