NPI 1053631085

Milo S Collier, CP

Practitioner Prosthetist Longview, WA

Practice location

Address: 1113 Vandercook Way Suite 120, Longview, WA 98632-4024
Phone: (360) 423-0459
Fax: (360) 575-1144
Mailing address: PO Box 909, Longview, WA 98632-7568

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence PS00000061 (WA)

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Registry record

NPI: 1053631085
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jun 2010
Record last updated: 1 Jun 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.