| Dennis J. Wyman M.d. | |
|
175 W 200 S Suite 4009 Salt Lake City UT 84101-1413 | |
| (801) 359-7756 | |
| Not Available |
| Full Name | Dennis J. Wyman M.d. |
|---|---|
| Speciality | General Practice |
| Location | 175 W 200 S, Salt Lake City, Utah |
| Authorized Official Name and Position | Dennis J Wyman (PRESIDENT) |
| Authorized Official Contact | 8013597756 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis J. Wyman M.d. 175 W 200 S Suite 4009 Salt Lake City UT 84101-1413 Ph: (801) 359-7756 | Dennis J. Wyman M.d. 175 W 200 S Suite 4009 Salt Lake City UT 84101-1413 Ph: (801) 359-7756 |
| NPI Number | 1184753014 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 10/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184753014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 1616321205 (Utah) | Primary |
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