Individual
MR. COLBY HASSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 S UNIVERSITY AVE, PROVO, UT 84601-4422
(801) 851-7127
Mailing address
150 S UNIVERSITY AVE, PROVO, UT 84601-4422
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/31/2012
Last updated
01/31/2012
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