Individual
CRISTI BISSEGGER-COZAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
502 DELANCEY ST, TOOELE, UT 84074-7430
(801) 326-9144
Mailing address
502 DELANCEY ST, TOOELE, UT 84074-7430
(801) 326-9144
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8759521-4405
UT
Other
Enumeration date
10/06/2019
Last updated
10/06/2019
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