CHAZ DERRICK COLTON

PROVO, UT
NPI1518484005
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: UT  8066563-4405)
Enumeration Date2017-08-24
Last Update Date2017-08-24
Business Address
Mr. CHAZ DERRICK COLTON DNP
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-357-2130
Mailing Address
Mr. CHAZ DERRICK COLTON DNP
1346 E 3240 N
LEHI, UT 84043-3227
Phone number: 801-520-9049
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