Provider Demographics
NPI:1043407141
Name:COLLIER, JAMES DURWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:DURWARD
Last Name:COLLIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HQ USAFE/SG
Mailing Address - Street 2:UNIT 3050, BOX 130
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09094
Mailing Address - Country:DE
Mailing Address - Phone:01149637-147-7310
Mailing Address - Fax:
Practice Address - Street 1:HQ USAFE/SG
Practice Address - Street 2:UNIT 3050, BOX 130
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09094
Practice Address - Country:DE
Practice Address - Phone:01149637-147-7310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-02
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO24634207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine