Individual
MICHAEL J. COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1055 N 500 W, STE 101, PROVO, UT 84604-3305
(801) 373-4366
(801) 429-8191
Mailing address
1055 N 500 W ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
262229-1206
UT
Other
Enumeration date
02/15/2007
Last updated
11/24/2015
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