Most Relevant Information
Provider Data
| NPI Number: | 1003235151 |
| Provider Name: | ERICA JANE ALEXANDRA COLVIN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/15/2014 |
| Last Updated: | 06/26/2017 |
Provider Practice Location
50 N MEDICAL DR
SALT LAKE CITY
UT
841320001
Practice Location Phone/Fax
| Phone: | 8015812121 |
| Fax: |
Provider Mailing Location
50 N MEDICAL DR
SALT LAKE CITY
UT
841320001
Provider Mailing Phone/Fax
| Phone: | 8015812121 |
| Fax: |