Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COLT R MUND
Active Sole ProprietorCOLT R MUND is a Foster Care Agency healthcare provider located in WILLARD, Utah. NPI 1104117639 is currently active in the NPPES registry. Verify at CMS.
Foster Care Agency · WILLARD, UT
Registration Details
- NPI Number
- 1104117639
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 2, 2011 (15.273470746653 yrs)
- Last Updated
- May 2, 2011
- Sole Proprietor
- Yes
Practice Information
- Address
-
170 W 200 NWILLARD, UT, 843409752Browse UT providers · Browse ZIP 84340
- Phone
- 4357349606
- Primary Specialty
-
Foster Care Agency
253J00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.