Individual
COLT BRUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
750 W 800 N, OREM, UT 84057-3660
(801) 714-6000
Mailing address
1181 HARVEST RIDGE DR, SALEM, UT 84653-5639
(801) 735-3088
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
10259876-1204
UT
Other
Enumeration date
07/02/2012
Last updated
12/20/2017
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