Individual
DR. AMANDA JANE WIRTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
4460 HIGHLAND DR STE 400, SALT LAKE CITY, UT 84124-3565
(801) 272-4111
(801) 272-5989
Mailing address
4460 HIGHLAND DR STE 400, SALT LAKE CITY, UT 84124-3565
(801) 272-4111
(801) 272-5989
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31067-88-1206
UT
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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