Organization
COLON & RECTAL CENTER OF UTAH P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER W. BOSSART MD (OWNER)
(801) 263-1621
Entity
Organization
Contact information
Practice address
1250 E 3900 S STE 320, SALT LAKE CITY, UT 84124-1350
(801) 263-1621
(801) 906-0556
Mailing address
324 TENTH AVE, #280, SALT LAKE CITY, UT 84103-2853
(801) 408-5930
(801) 408-5259
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
UT
Other
Enumeration date
12/19/2007
Last updated
01/10/2022
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