NPI 1184753014

Dennis J. Wyman M.D.

Organisation General Practice Physician Salt Lake City, UT

Practice location

Address: 175 W 200 S Suite 4009, Salt Lake City, UT 84101-1413
Phone: (801) 359-7756

Authorised official

Name: Dennis J Wyman
Title: President
Phone: (801) 359-7756

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 1616321205 (UT)

Other General Practice providers in Utah →

Registry record

NPI: 1184753014
Entity type: Organization
NPI issued: 5 Mar 2007
Record last updated: 16 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.