Individual provider · Type 1 NPI

Brock Coleman

Student in an Organized Health Care Education/Training Program · Salt Lake City, UT

NPI number 1356040539 Active

Practice location

27 S Mario Capecchi Dr
Salt Lake City, UT 84112-5888

Call (801) 581-7498 Map

Mailing address

233 N Redwood Rd Apt 237
Salt Lake City, UT 84116-3918

Other practice locations

  • 50 N Medical Dr, Salt Lake City, UT 84132-0001 · (801) 581-2121

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1356040539

Brock Coleman's National Provider Identifier is 1356040539, issued on Feb 27, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Salt Lake City, UT. The record was last updated on Feb 27, 2023.