Wesley D Wylie MD LLC

NPI #1437383379 in Provo, Utah

Provider Information

NPI Number
1437383379
Entity Type
Organization
Organization Name
Wesley D Wylie MD LLC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
May 6, 2009
Last Updated
May 6, 2009

Practice Location

Address
280 RIVER PARK DR
City
Provo
State
Utah
ZIP Code
84604-5764
Phone
(801) 380-0432

Authorized Official

Name
WESLEY DOUGLAS WYLIE, MD
Title
MANAGER
Phone
(801) 380-0432

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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Provider Name
Utah Valley Family Medicine Residency

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