MR. Walter Montgomery Wootton, PA-C

NPI #1891121661 in Vernal, Utah

Provider Information

NPI Number: 1891121661
Entity Type: Individual
Name: MR. Walter Montgomery Wootton, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 24, 2013
Last Updated: Jan 16, 2017

Practice Location

Address: 379 N 500 W
City: Vernal
State: Utah
ZIP Code: 84078-1956
Phone: (435) 789-1165

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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