Individual
MARLA COLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
54 N 200 E, CEDAR CITY, UT 84720-2615
(435) 586-2515
Mailing address
529 S 450 W, CEDAR CITY, UT 84720-3117
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/29/2011
Last updated
11/02/2011
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