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Individual

SIMON COLLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
960 N DIXIE DOWNS RD, ST GEORGE, UT 84770-4206
(435) 628-0612
(435) 628-8911
Mailing address
474 W 200 N, SUITE 300, ST GEORGE, UT 84770-4505
(435) 634-5600
(435) 986-8700

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
COLLES
SWCBH STAFF CODE
UT
Enumeration date
08/13/2007
Last updated
08/13/2007
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