Individual
COLTON WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
693 S 400 E, BRIGHAM CITY, UT 84302-2924
(435) 723-1799
Mailing address
PO BOX 887, BRIGHAM CITY, UT 84302-0887
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/10/2014
Last updated
10/10/2014
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