Individual
DR. GREGORY SCOTT WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
716 W 800 N STE 300, OREM, UT 84057-6300
(801) 224-0421
(801) 224-0821
Mailing address
716 W 800 N STE 300, OREM, UT 84057-6300
(801) 224-0421
(801) 224-0821
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
97-341832-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D0999
—
UT
Enumeration date
08/01/2006
Last updated
07/09/2007
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