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NPI Code Detail

MEDICARE: COLLINS ORTHOPAEDICS LLC

MEDICARE: COLLINS ORTHOPAEDICS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician

General Provider Information

NPI Number : 1457724254
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLLINS ORTHOPAEDICS LLC
Provider Business Mailing Address
First Line : 1625 WOLFE CIRCLE
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70605-2348
Country : US
Telephone Number : 337-905-7100
Fax Number : 337-905-7101
Provider Business Practice Location Address
First Line : 1625 WOLFE CIRCLE
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70605-2348
Country : US
Telephone Number : 337-905-7100
Fax Number : 337-905-7101
Authorized Official
Title or Position : OWNER
Name : MR. GEOFFREY JAMES COLLINS
Credential : M.D.
Telephone Number : 337-905-7100
Provider Enumeration Date : 11/03/2015
Last Update Date : 06/06/2016

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Directions to “COLLINS ORTHOPAEDICS LLC ” Practice Location

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