Wesley Shayne Bott

NPI #1124503396 in Payson, Utah

Provider Information

NPI Number: 1124503396
Entity Type: Organization
Organization Name: Wesley Shayne Bott
Primary Specialty: Family Medicine
Enumeration Date: Oct 3, 2018
Last Updated: Feb 25, 2019

Practice Location

Address: 238 E 400 S
City: Payson
State: Utah
ZIP Code: 84651-5735
Phone: (801) 658-9094

Authorized Official

Name: WESLEY S BOTT
Title: OWNER
Phone: (801) 798-7301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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