Provider Demographics
NPI:1679782031
Name:COLES, CATHERINE MICHELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:MICHELLE
Last Name:COLES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:MICHELLE
Other - Last Name:SANDNER-BEHBAHANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1492 W ANTELOPE DR
Mailing Address - Street 2:SUITE 203
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-1139
Mailing Address - Country:US
Mailing Address - Phone:801-773-7500
Mailing Address - Fax:801-773-7800
Practice Address - Street 1:1492 W ANTELOPE DR
Practice Address - Street 2:SUITE 203
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-1139
Practice Address - Country:US
Practice Address - Phone:801-773-7500
Practice Address - Fax:801-773-7800
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2012-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7752969-1205207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine