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Individual

JUSTIN C WHEELER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
81 N MARIO CAPECCHI DR FL 4, SALT LAKE CITY, UT 84113
(801) 213-3599
Mailing address
81 N MARIO CAPECCHI DR FL 4, SALT LAKE CITY, UT 84113-1125
(801) 213-3599

Taxonomy

Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
10316335-1205
UT
2080P0206X
Pediatric Gastroenterology Physician
M-13995
ID
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/29/2011
Last updated
12/17/2021
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