NPI 1730511098

Jennifer L Vanwagoner, DVM

Practitioner Veterinarian Sandy, UT

Practice location

Address: 9414 S 1335 E, Sandy, UT 84092-2947
Phone: (801) 523-1176

Registered specialties

Veterinarian Primary

Other Service Providers Taxonomy 174M00000X Licence 5995962-2801 (UT)

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Registry record

NPI: 1730511098
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Aug 2013
Record last updated: 8 Aug 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.