NPI 1144473224

Gaylord Collins, CP

Practitioner Prosthetist Pineville, LA

Practice location

Address: 2495 Shreveport Hwy Bld 2 Rm 242, Pineville, LA 71306-9004
Phone: (318) 473-0010
Fax: (318) 483-5154
Mailing address: 2114 Shreveport Hwy APT 275, Pineville, LA 71360-2006

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence CP003397

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Registry record

NPI: 1144473224
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Nov 2008
Record last updated: 3 Nov 2008

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.