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Organization
WESLEY SHAYNE BOTT
Active
Organization
WESLEY SHAYNE BOTT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WESLEY S BOTT (OWNER)
(801) 798-7301
Entity
Organization
Contact information
Practice address
238 E 400 S, PAYSON, UT 84651-5735
(801) 658-9094
(801) 658-9094
Mailing address
238 E 400 S, PAYSON, UT 84651-5735
(801) 658-9094
(801) 658-9094
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/03/2018
Last updated
02/25/2019
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