Colt R Mund Valid NPI
Individual provider · Foster Care Agency · Willard, UT
- NPI
- 1104117639
- Type
- Individual (Type 1)
- Primary specialty
- Foster Care Agency
- Specialty group
- Agencies
- Taxonomy code
- 253J00000X
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2011-05-02
- Last updated
- 2011-05-02
Practice location
170 W 200 N
Willard, UT 84340-9752
(435) 734-9606