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Wesley D Wylie Md Llc
Primary Care Clinic/Center in Provo, Utah
NPI 1437383379

Wesley D Wylie Md Llc is a Primary Care Clinic/Center based in Park City, UT and is specialized in Primary Care. Wesley D Wylie Md Llc practices in Provo, UT. The NPI Number for Wesley D Wylie Md Llc is 1437383379 and holds a License No. 187190-1205 (Utah).

The current practice location address for Wesley D Wylie Md Llc is 280 River Park Dr, Provo, UT and can be reached out via phone at 801-380-0432 and via fax at 801-802-0108.

Location: 280 River Park Dr, Provo, UT, 84098-5615
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437383379
Provider Name
Wesley D Wylie Md Llc
Credential
Provider Entity Type
Organization
Address
280 River Park Dr, Provo, UT, 84098-5615
Phone Number
801-380-0432
Fax Number
801-802-0108
Provider Enumeration Date
05/06/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11032 05 UT
institution
Provider Business Practice Location Address Details
Address
280 River Park Dr
City
Provo
State
Utah
Zip
84604-5764
Phone Number
801-380-0432
Fax Number
801-802-0108
person
Provider Business Mailing Address Details
Address
280 River Park Dr
City
Provo
State
Utah
Zip
84604-5764
Phone Number
801-380-0432
Fax Number
801-802-0108
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
187190-1205 (Utah)
Definition
Definition to come...
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