MR. Gaylord Collins, CP

NPI #1144473224 in Pineville, Louisiana

Provider Information

NPI Number: 1144473224
Entity Type: Individual
Name: MR. Gaylord Collins, CP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Prosthetist
Credential: CP
Enumeration Date: Nov 3, 2008
Last Updated: Nov 3, 2008

Practice Location

Address: 2495 SHREVEPORT HWY
Address 2: BLD 2 RM 242
City: Pineville
State: Louisiana
ZIP Code: 71306-9004
Phone: (318) 473-0010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetist	224P00000X	Primary

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