Individual
MR. BRIAN BENNETT KOLDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, FNP-C
Contact information
Practice address
577 S RIVER RD, ST GEORGE, UT 84790-2097
(435) 688-6262
(435) 688-6263
Mailing address
577 S RIVER RD, ST GEORGE, UT 84790-2097
(435) 688-6262
(435) 688-6263
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5850890-4405
UT
Other
Enumeration date
09/26/2013
Last updated
10/19/2023
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