NPI 1316946015

Dennis Jon Wyman, MD

Practitioner General Practice Physician Salt Lake City, UT

Practice location

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

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 161632-1205 (UT)

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Registry record

NPI: 1316946015
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jul 2005
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.