Individual
COLIN KELLY CREBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NUCLEAR PHARMACIST
Contact information
Practice address
391 CHIPETA WAY, SUITE A, SALT LAKE CITY, UT 84108-1263
(801) 581-8189
(801) 585-7273
Mailing address
391 CHIPETA WAY SUITE A, INTERMOUNTAIN RADIOPHARMACY, SALT LAKE CITY, UT 84108-2703
(801) 581-8189
(801) 585-7273
Taxonomy
Speciality
Code
Description
License number
State
1835N0905X
Nuclear Pharmacist
Primary
145579-1701
UT
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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