Individual
ALAN QUIN WYGANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1478 EAST HIGHWAY 162, MONTEZUMA CREEK, UT 84534
(435) 651-3700
(435) 678-0608
Mailing address
PO BOX 130, MONTEZUMA CREEK, UT 84534-0130
(435) 651-3700
(435) 678-0608
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8260825-4405
UT
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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