NPI 1104117639
Colt R Mund
Practice location
- Address
- 170 W 200 N, Willard, UT 84340-9752
- Phone
- (435) 734-9606
Registered specialties
Foster Care Agency
Primary
Registry record
- NPI
- 1104117639
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 2 May 2011
- Record last updated
- 2 May 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.