Individual
COLBY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
115 GOLF COURSE RD STE E, LOGAN, UT 84321-5934
(435) 999-4059
(435) 213-2800
Mailing address
115 GOLF COURSE RD STE E, LOGAN, UT 84321-5934
(435) 999-4059
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8829050-1206
UT
Other
Enumeration date
11/08/2013
Last updated
03/23/2023
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