Individual
JEREMY BRYCE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1126 DRAPER PKWY, DRAPER, UT 84020-9095
(801) 250-2000
(801) 325-7185
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 699-8449
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6029461 1205
UT
Other
Enumeration date
06/12/2007
Last updated
09/11/2015
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