Individual
JOSHUA TY WINTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2321 N 400 E STE 200, TOOELE, UT 84074-3440
(435) 830-6110
Mailing address
2321 N 400 E STE 200, TOOELE, UT 84074-3440
(435) 830-6110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8425920-1206
UT
Other
Enumeration date
11/02/2020
Last updated
06/02/2023
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