COLTON PHIPPEN

SALT LAKE CITY, UT
NPI1144646613
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  MRO-2184)
Enumeration Date2014-03-08
Last Update Date2022-07-07
Business Address
COLTON PHIPPEN
501 S CHIPETA WAY
SALT LAKE CITY, UT 84108-1222
Phone number: 801-236-7710
Mailing Address
COLTON PHIPPEN
500 S 11TH AVE STE 400
POCATELLO, ID 83201-4880
Phone number: 208-232-7962
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