Individual provider · Type 1 NPI
Dennis Jon Wyman, MD
General Practice Physician · Salt Lake City, UT
NPI number
1316946015
Active
Practice location
175 W 200 S, Ste 4009
Salt Lake City, UT 84101-1413
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 161632-1205 (UT) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
2 other providers at this address
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About NPI 1316946015
Dennis Jon Wyman, MD's National Provider Identifier is 1316946015, issued on Jul 15, 2005. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Oct 16, 2007.