Individual
EMMA LOU WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
960 W 800 N, OREM, UT 84057-3626
(801) 226-6184
Mailing address
960 W 800 N, OREM, UT 84057-3626
(801) 226-6184
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11809036-1206
UT
Other
Enumeration date
08/15/2023
Last updated
09/23/2025
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