NPI 1457611766

Samuel Paul Wilkey

Practitioner Substance Abuse Rehabilitation Facility Moroni, UT

Practice location

Address: 21360 N 1450e, Moroni, UT 84646
Phone: (435) 445-5200
Mailing address: PO Box 461, Moroni, UT 84646

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Utah →

Registry record

NPI: 1457611766
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 May 2012
Record last updated: 21 May 2012

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.