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1043574221
COLT BRUNSON
OREM, UT
NPI
1043574221
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: UT 10259876-1204)
Enumeration Date
2012-07-02
Last Update Date
2017-12-20
Business Address
COLT BRUNSON D.O.
750 W 800 N
OREM, UT 84057-3660
Phone number: 801-714-6000
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Mailing Address
COLT BRUNSON D.O.
1181 HARVEST RIDGE DR
SALEM, UT 84653-5639
Phone number: 801-735-3088
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