Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0200X | Radiology | DC28356 | CA |
Y | 213ER0200X | Radiology | DC28356 | CA |
NPI | 1669406567 |
---|---|
Provider Name | Curtis Wayne Collins |
First Address | Bakersfield, CA 93309-4689 |
Second Address | Bakersfield, CA 93309-4689 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 08/07/2007 |