Individual
CLINT JOHN WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1551 RENAISSANCE TOWNE DR, SUITE 400, BOUNTIFUL, UT 84010-7667
(801) 295-7200
Mailing address
1551 S. RENAISSANCE TOWNE DRIVE, SUITE 400, BOUNTIUL, UT 84010-7272
(801) 295-7200
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5506567-1205
UT
Other
Enumeration date
06/30/2009
Last updated
10/14/2016
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