Mr. COLBY J ANDERSEN P.A.
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1124330865- Provider Type
- Individual Provider (NPI-1)
- Credentials
- P.A.
- Status
- Active
Contact & Location
- Address
- 412 N 200 E, LOGAN, UT, 843214038
- Phone
- (435) 713-2710
Specialties & Taxonomies
Physician Assistant
License: ID #PA1078
Physician Assistant
License: CO #PA3028
Physician Assistant
Primary License: UT #10912261-1206
All Addresses
MAILING
PO BOX 27128
SALT LAKE CITY, UT, 841270128