Colon & Rectal Center of Utah P C
NPI #1912181421 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1912181421
- Entity Type
- Organization
- Organization Name
- Colon & Rectal Center of Utah P C
- Primary Specialty
- Specialist
- Enumeration Date
- Dec 19, 2007
- Last Updated
- Jan 10, 2022
Practice Location
- Address
- 1250 E 3900 S STE 320
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84124-1350
- Phone
- (801) 263-1621
Authorized Official
- Name
- PETER W. BOSSART, MD
- Title
- OWNER
- Phone
- (801) 263-1621
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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