Most Relevant Information
Provider Data
| NPI Number: | 1003479213 |
| Provider Name: | JUSTIN SCOTT COLES DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/15/2019 |
| Last Updated: | 01/18/2021 |
Provider Practice Location
4403 HARRISON BLVD STE 700A
OGDEN
UT
844033295
Practice Location Phone/Fax
| Phone: | 8013875300 |
| Fax: | 8013875333 |
Provider Mailing Location
4403 HARRISON BLVD STE 700A
OGDEN
UT
844033295
Provider Mailing Phone/Fax
| Phone: | 8013875300 |
| Fax: | 8013875333 |