Individual
ZIYI WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
444 W BOURNE CIR STE 101, FARMINGTON, UT 84025-3656
(801) 294-9333
(801) 294-7558
Mailing address
PO BOX 402381, ATLANTA, GA 30384-2381
(801) 294-9333
(801) 294-7558
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MT211289
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518293323
—
UT
Enumeration date
06/16/2016
Last updated
12/17/2019
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