Provider Demographics
NPI:1437258498
Name:COLMAN, HOWARD (MD)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:
Last Name:COLMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 CIRCLE OF HOPE DR
Mailing Address - Street 2:DEPT. OF NEUROSURGERY AND HUNTSMAN CANCER INSTITUTE
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84112-5550
Mailing Address - Country:US
Mailing Address - Phone:801-587-4024
Mailing Address - Fax:801-585-6613
Practice Address - Street 1:2000 CIRCLE OF HOPE DR
Practice Address - Street 2:DEPT. OF NEUROSURGERY AND HUNTSMAN CANCER INSTITUTE
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84112-5550
Practice Address - Country:US
Practice Address - Phone:801-587-4024
Practice Address - Fax:801-585-6613
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7665006-12052084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT1437258498Medicaid
UT10000000841001OtherBCBS
UT1437258498Medicaid