Individual
DR. COLEEN MARIE ANDRUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1173 S. 250 W., SUITE #110 - BLACKRIDGE TERRACE, SAINT GEORGE, UT 84770
(435) 986-3800
(435) 986-9018
Mailing address
1173 S. 250 W., SUITE #110 - BLACKRIDGE TERRACE, SAINT GEORGE, UT 84770
(435) 986-3800
(435) 986-9018
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
983601601205
UT
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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