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Individual

COLIN B. VAN ORMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 587-7575
Mailing address
PO BOX 413021, SALT LAKE CITY, UT 84141-3021
(801) 213-3900

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
19500
MT
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
186741-1205
UT

Other

Enumeration date
11/03/2006
Last updated
12/20/2021
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