Whalio Doctors

NPI 1972932986

Bryan David Whetton, PAC

Practitioner Physician Assistant Tremonton, UT

Practice location

Address
905 N 1000 W, Tremonton, UT 84337-9356
Phone
(435) 207-4500
Mailing address
PO Box 30180, Salt Lake City, UT 84130-0180

Registered specialties (2)

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 5808460-1206 (UT)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA.60423331 (WA)

Registry record

NPI
1972932986
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Nov 2013
Record last updated
18 Oct 2024

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.