IndividualActive
Alan Colledge, MD
NPI 1629169370 · Family Medicine Physician · Provo, UT
Provider details
- NPI number
- 1629169370
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 178606-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1055 N 500 W
Suite 121
Provo, UT 84604-3305
Phone: (801) 373-7350
Fax: (801) 812-5401
Approximate (ZIP-level) locationGet directions
Mailing address
1055 N 500 W
Provo, UT 84604-3305
Additional practice locations (2)
- 700 W 800 N Ste 100Orem, UT 84057-6302Phone: (801) 373-7350Fax: (801) 224-5337
- 555 W Sr 164Salem, UT 84653Phone: (801) 373-7350Fax: (801) 465-8898
Registry dates
- Enumerated
- 2006-09-27
- Last updated
- 2023-11-27
- Certified
- 2020-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.