# WHOLEHEALTH MEDICAL AND WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356728877
- **Authorized official:** SHARLENE WATSON (ADMIN)
- **Authorized official phone:** (801) 607-5270

## Contact information

- **Practice address:** 524 W 300 N, SUITE 203, PROVO, UT 84601-2667
- **Practice address phone:** (801) 607-5270
- **Practice address fax:** (801) 607-5271
- **Mailing address:** 524 W 300 N, SUITE 203, PROVO, UT 84601-2667
- **Mailing address phone:** (801) 607-5270
- **Mailing address fax:** (801) 607-5271

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/05/2015
- **Last updated:** 05/05/2015