Individual
JOEL WENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2000 CIRCLE OF HOPE DR, SALT LAKE CITY, UT 84112-5550
(303) 590-4228
Mailing address
2103 S WYOMING ST, SALT LAKE CITY, UT 84109-1316
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10438330-1206
UT
Other
Enumeration date
08/09/2017
Last updated
12/17/2021
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