NPI 1245651348
Paul Wiederhold
Practice location
- Address
- 704 N State Road 51, Spanish Fork, UT 84660-1385
- Phone
- (801) 794-0318
Registered specialties
Foster Care Agency
Primary
Registry record
- NPI
- 1245651348
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 17 Dec 2013
- Record last updated
- 17 Dec 2013
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.