MR. Colby J Andersen, P.A.

NPI #1124330865 in Logan, Utah

Provider Information

NPI Number: 1124330865
Entity Type: Individual
Name: MR. Colby J Andersen, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Jul 10, 2010
Last Updated: Jul 10, 2019

Practice Location

Address: 550 E 1400 N
City: Logan
State: Utah
ZIP Code: 84341-2406
Phone: (435) 752-7060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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