MD Alan L Colledge, NPI 1629169370
Family Medicine Physician in Provo, UT, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1629169370
NPI Entity Type Individual
Provider Name MD Alan L Colledge
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 1055 N 500 W, Suite 121, Provo, UT, US
Provider Mailing Address 1055 N 500 W, Credentialing Department, Provo, UT, US, 846043305
Gender Male
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207Q00000X

Taxonomy Name Family Medicine Physician
Classification

Family Medicine

Group

Allopathic & Osteopathic Physicians

License No. 178606-1205
License State UT
Description Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

MD Alan L Colledge
1055 N 500 W
Suite 121

Provo, UT, US

Phone: 801-373-7350
Fax: 801-812-5401

Mailing Address

MD Alan L Colledge
1055 N 500 W
Credentialing Department
Provo, UT, US
ZIP 846043305
Phone: 801-354-8225
Fax: 801-418-0941

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207X00000X

Allopathic & Osteopathic Physicians

Orthopaedic Surgery

178606-1205 UT No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
020188719 UT PALMETTO 01
20025 UT DMBA 01
QM000056643 UT ALTIUS 01
107006523102 UT IHC 01
2300056 UT UTAH HEALTHCARE 01
68082 UT PEHP 01
870281028COL UT EMIA 01

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
DIRECT [email protected] Yes 1055 N 500 W, Provo, UT, US

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Alexis Suzanne Goodwin

Individual

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