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Individual

MR. ILSLEY BEN COLTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1409 E BRYAN AVE, SALT LAKE CITY, UT 84105-2651
(802) 922-0872
Mailing address
1409 E BRYAN AVE, SALT LAKE CITY, UT 84105-2651
(802) 922-0872

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12229251-1205
UT

Other

Enumeration date
03/21/2017
Last updated
01/14/2024
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