Individual
DR. CRAIG ALAN COLEBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12391 S 4000 W, SUITE 100, RIVERTON, UT 84096-7012
(801) 302-1700
Mailing address
2965 W 3500 S STE 100, WEST VALLEY CITY, UT 84119-3602
(801) 965-3600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7637496-1205
UT
208000000X
Pediatrics Physician
7637496-1205
UT
2080S0010X
Pediatric Sports Medicine Physician
7637496-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386825024
—
UT
Enumeration date
11/23/2007
Last updated
04/18/2024
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