NPI 1801195946

Howard Wiley Bakken

Practitioner Driver Salt Lake City, UT

Practice location

Address: 5965 S 900 E, Salt Lake City, UT 84121-1720
Phone: (801) 263-7100

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1801195946
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Mar 2011
Record last updated: 15 Mar 2011

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.